Organization Active NPI

Cardiac & Endovascular Associates, LLC

  • Cardiovascular Disease Physician
  • Ridgewood, NJ
National Provider Identifier
1790807766
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC & ENDOVASCULAR ASSOCIATES, LLC
Practice address
1124 E Ridgewood Ave
Suite 202
Ridgewood, NJ 07450-3915
Phone
(201) 689-8070
Fax
(201) 689-9404
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Janet Elizabeth Strain, M.D.
Title
President
Phone
(201) 689-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1124 E Ridgewood Ave
Suite 202
Ridgewood, NJ 07450-3915

Mailing address

1124 E Ridgewood Ave
Suite 202
Ridgewood, NJ 07450-3915
Phone (201) 689-8070

Other identifiers 2

IdentifierTypeStateIssuer
00800239MedicaidNY
6341101MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1790807766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "address_2": "SUITE 202",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-689-8070",
            "fax_number": "201-689-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "address_2": "SUITE 202",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-689-8070",
            "fax_number": "201-689-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & ENDOVASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-689-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00800239",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6341101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.