Medicor Cardiology, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDICOR CARDIOLOGY, PA

Practice address

225 Jackson St
Bridgewater, NJ 08807-3060

Phone

(908) 526-8668

Fax

(908) 231-6781

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Ellison-Miller

Title

Billing Manager

Phone

(908) 243-5004

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1770641532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 JACKSON ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073060",
            "telephone_number": "908-526-8668",
            "fax_number": "908-231-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 JACKSON ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073060",
            "telephone_number": "908-526-8668",
            "fax_number": "908-231-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOR CARDIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ELLISON-MILLER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-243-5004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2935902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew McNally, LPC
• Shannon McNeil
• Robert J McNulty, R.PH.
• John E McWhorter, MD
• Nepha Medeus, LCSW
• Amber Medina
• Christina Marie Medrano, M.D.
• Megha Mehra
• Priya Mehrish
• Nehal Laheri Mehta, MD

• Specialist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.