Organization Active NPI

Cardiology Consultants of Englewood Cliffs, PC

  • Medical Specialty Clinic/Center
  • Englewood Cliffs, NJ
National Provider Identifier
1780981209
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CARDIOLOGY CONSULTANTS OF ENGLEWOOD CLIFFS, PC
Practice address
700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058
Phone
(201) 569-1800
Fax
(201) 569-1880
NPI assigned
Feb 18, 2011
Last updated
Oct 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Mark Inbo Shim, M.D.NPI 1104836352
Title
President
Phone
(201) 569-1800

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058

Mailing address

700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058
Phone (201) 569-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000500 NJ Part B Supplier - Clinic/Group Practice 0547446254 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ

National Provider Directory

National Provider Directory

Locations

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-0606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1780981209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323058",
            "telephone_number": "201-569-1800",
            "fax_number": "201-569-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323058",
            "telephone_number": "201-569-1800",
            "fax_number": "201-569-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF ENGLEWOOD CLIFFS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "INBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-569-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; 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.