Organization Active NPI

Deborah Cardiovascular Group, P.C.

Doing business as Advanced Heart, Lung and Vascular Care

  • Specialist
  • Browns Mills, NJ
National Provider Identifier
1821041732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DEBORAH CARDIOVASCULAR GROUP, P.C.
Doing business as
Advanced Heart, Lung and Vascular Care
Practice address
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone
(609) 893-1200
Fax
(609) 735-0175
NPI assigned
May 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. R.Grant Leidy
Title
Treasurer Secretary
Phone
(609) 893-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

200 Trenton Rd
Browns Mills, NJ 08015-1705

Mailing address

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

Other names 1

  • Advanced Heart, Lung and Vascular Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001227 NJ Part B Supplier - Clinic/Group Practice 7618962549 Receives reassigned benefits from 77 practitioners
Practice locations: Tabernacle, NJ; Whiting, NJ; Toms River, NJ; Mt Laurel, NJ; Manahawkin, NJ; Galloway, NJ; Burlington, NJ; Browns Mills, NJ

National Provider Directory

National Provider Directory

Locations

525 Jack Martin Blvd
Ste 305
Brick, NJ 08724
Phone (732) 458-5744

200 Trenton Rd
Ste 4035
Browns Mills, NJ 08015

212 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 621-2075

811 Sunset Rd
Ste 102
Burlington, NJ 08016

1450 Parkside Ave
#D18
Ewing, NJ 08638
Phone (609) 498-7038

50 Union Ave
Fl 2
Irvington, NJ 07111
Phone (862) 339-0005

3100 Princeton Pike
Ste 1A
Lawrenceville, NJ 08648
Phone (609) 219-0280

3100 Princeton Pike
Ste A
Lawrenceville, NJ 08648
Phone (609) 439-4353

1322 Route 72 W
Ste 1
Manahawkin, NJ 08050

1363 Rte 72 W Ste 56
Manahawkin, NJ 08050

1364 Route 72 W
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-0778

1364 Route 72 W
Ste 56
Manahawkin, NJ 08050

1364 Route 72 W
Ste 655
Manahawkin, NJ 08050

1217 N Church St
Moorestown, NJ 08057
Phone (856) 234-2828

1163 Route 37 W
Toms River, NJ 08755
Phone (610) 992-2700

25 Mule Rd
Toms River, NJ 08755
Phone (732) 240-4455

25 Mule Rd
Unit B5
Toms River, NJ 08755
Phone (732) 240-1011

334 Commons Way
Bldg C
Toms River, NJ 08755
Phone (732) 341-0325

780 Route 37 W
Ste 310
Toms River, NJ 08755
Phone (732) 240-0599

3000 Hilltop Rd
Whiting, NJ 08759
Phone (732) 849-4400

550 Route 530
Ste 20
Whiting, NJ 08759
Phone (609) 836-6606

550 Route 530
Ste 20A
Whiting, NJ 08759

550 Route 530
Unit 20A
Whiting, NJ 08759

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 94

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.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821041732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-1200",
            "fax_number": "609-735-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-1200",
            "fax_number": "609-735-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH CARDIOVASCULAR GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEIDY",
        "authorized_official_first_name": "R.GRANT",
        "authorized_official_title_or_position": "TREASURER SECRETARY",
        "authorized_official_telephone_number": "609-893-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Heart, Lung and Vascular Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.