Organization Active NPI

Cardiac Arrhythmia Specialist PC

  • Clinical Cardiac Electrophysiology Physician
  • Clifton, NJ
National Provider Identifier
1770619264
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MA62803 Issued in NJ
Legal business name
CARDIAC ARRHYTHMIA SPECIALIST PC
Practice address
524 Clifton Ave
Clifton, NJ 07011-3259
Phone
(201) 791-6900
Fax
(201) 794-1167
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Atul Prakash, M.D.NPI 1427085109
Title
Physician
Phone
(201) 791-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X MA62803 NJ Primary

Addresses

Primary practice location

524 Clifton Ave
Clifton, NJ 07011-3259

Mailing address

54 Forest Hills Way
Cedar Grove, NJ 07009-2031
Phone (201) 791-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000182 NJ Part B Supplier - Clinic/Group Practice 4385823582 Receives reassigned benefits from 2 practitioners
Practice locations: Fair Lawn, NJ; Clifton, NJ

National Provider Directory

National Provider Directory

Locations

905 Allwood Rd
Ste 103
Clifton, NJ 07012
Phone (201) 355-9974

512 Kearny Ave
Kearny, NJ 07032
Phone (201) 428-2424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIDGAD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1770619264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FOREST HILLS WAY",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092031",
            "telephone_number": "201-791-6900",
            "fax_number": "201-794-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113259",
            "telephone_number": "201-791-6900",
            "fax_number": "201-794-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC ARRHYTHMIA SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-791-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "MA62803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.