Organization Active NPI

Suburban Heart Group, PA

  • Specialist
  • Union, NJ
National Provider Identifier
1861543811
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUBURBAN HEART GROUP, PA
Practice address
2333 Morris Ave
Suite D-1
Union, NJ 07083-5714
Phone
(908) 964-7333
Fax
(908) 687-7855
NPI assigned
Jan 16, 2007
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
Dr. Carl VitaleNPI 1588621007
Title
President
Phone
(908) 964-7333

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

2333 Morris Ave
Suite D-1
Union, NJ 07083-5714

Mailing address

2333 Morris Ave
Suite D-1
Union, NJ 07083-5714
Phone (908) 964-7333

Other identifiers 1

IdentifierTypeStateIssuer
5017106MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2333 Morris Ave
Ste D1
Union, NJ 07083
Phone (908) 964-7333

1000 Galloping Hill Rd
Ste 107
Union, NJ 07083
Phone (908) 851-7701

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861543811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE D-1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-964-7333",
            "fax_number": "908-687-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE D-1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-964-7333",
            "fax_number": "908-687-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HEART GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-964-7333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5017106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.