Organization Active NPI

Premier Choice Cardiology

Doing business as Tanveer Ahmad

  • Cardiovascular Disease Physician
  • Lakewood, NJ
National Provider Identifier
1902511876
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREMIER CHOICE CARDIOLOGY
Doing business as
Premier Choice Cardiology
Tanveer Ahmad
Practice address
1255 Route 70 Ste 23S
Lakewood, NJ 08701-5900
Phone
(732) 534-0736
NPI assigned
Jan 16, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Tanveer Ahmad, MDNPI 1962464495
Title
President
Phone
(732) 534-0736

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
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1255 Route 70 Ste 23S
Lakewood, NJ 08701-5900

Mailing address

1255 Route 70
Lakewood, NJ 08701-5900
Phone (732) 534-0736

Other identifiers 2

IdentifierTypeStateIssuer
1962464495OtherNJHORIZON, CIGNA, UNITEDHEALTHCARE, AETNA
1962464495MedicaidNJ

Other names 2

  • PREMIER CHOICE CARDIOLOGY Doing business as
  • TANVEER AHMAD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230309003020 NJ Part B Supplier - Clinic/Group Practice 0547633661 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ; Lakewood, NJ

National Provider Directory

National Provider Directory

Locations

150 Chambers Bridge Rd
Brick, NJ 08723
Phone (732) 920-4500

150 Chambers Bridge Rd
Ste 101
Brick, NJ 08723
Phone (732) 475-7800

1255 Highway 70
Ste 23
Lakewood, NJ 08701

1255 Route 70
Lakewood, NJ 08701
Phone (732) 942-2300

525 Route 70
Ste B10
Lakewood, NJ 08701
Phone (732) 534-0736

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509678/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1902511876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-534-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 23S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-534-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHOICE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-08-04",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-534-0736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON, CIGNA, UNITEDHEALTHCARE, AETNA",
            "identifier": "1962464495",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962464495",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER CHOICE CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TANVEER AHMAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.