Organization Active NPI

Dr Mascarenhas Cardiology PC

  • Cardiovascular Disease Physician
  • Phillipsburg, NJ
National Provider Identifier
1881139236
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05071700 Issued in NJ
Legal business name
DR MASCARENHAS CARDIOLOGY PC
Practice address
901 Coventry Dr
Phillipsburg, NJ 08865-1980
Phone
(908) 409-1250
Fax
(908) 800-2020
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Jeannie Reeder
Title
Billing Manager
Phone
(908) 409-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA05071700 NJ Primary

Addresses

Primary practice location

901 Coventry Dr
Phillipsburg, NJ 08865-1980

Mailing address

901 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 409-1250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208000279 NJ Part B Supplier - Clinic/Group Practice 1658654173 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

National Provider Directory

National Provider Directory

Locations

2061 Fairview Ave
Ste G
Easton, PA 18042

2100 Lehigh St
Ste 1
Easton, PA 18042
Phone (610) 253-3551

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.917139

Practitioners & affiliated clinicians

Practitioners 1

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": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1881139236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-409-1250",
            "fax_number": "908-800-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651980",
            "telephone_number": "908-409-1250",
            "fax_number": "908-800-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MASCARENHAS CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-409-1250"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05071700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.