Organization Active NPI

New England Cardiology, L.L.C.

  • Cardiovascular Disease Physician
  • Lawrence, MA
National Provider Identifier
1902024292
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEW ENGLAND CARDIOLOGY, L.L.C.
Practice address
25 Marston St Ste 404
Lawrence, MA 01841-2359
Phone
(978) 989-8911
Fax
(978) 989-0748
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Dr. Davor B. Kvaternik, M.D.
Title
President
Phone
(603) 898-7622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

25 Marston St Ste 404
Lawrence, MA 01841-2359

Mailing address

25 Marston St Ste 404
Lawrence, MA 01841-2359
Phone (978) 989-8911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000204 MA Part B Supplier - Clinic/Group Practice 5193768703 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence, MA

National Provider Directory

National Provider Directory

Locations

386 Merrimack St
Ste 1A
Methuen, MA 01844
Phone (978) 989-8911

23 Stiles Rd
Ste 107
Salem, NH 03079
Phone (603) 898-7622

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

Practitioners & affiliated clinicians

Practitioners 6

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1902024292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST STE 404",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412359",
            "telephone_number": "978-989-8911",
            "fax_number": "978-989-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST STE 404",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412359",
            "telephone_number": "978-989-8911",
            "fax_number": "978-989-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CARDIOLOGY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "KVATERNIK",
        "authorized_official_first_name": "DAVOR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-898-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.