Individual provider Active NPI

Apostolos A Voudouris, M.D.

  • Cardiovascular Disease Physician
  • Bloomfield, NJ
National Provider Identifier
1902842446
Registry record updated Jun 10, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Apr 18, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA07313600 Issued in NJ
Practice address
135 Broad St
Suite F
Bloomfield, NJ 07003-2629
Phone
(973) 707-2916
Fax
(201) 297-5596
NPI assigned
Jun 22, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Cardiovascular Disease Physician 207RC0000X 25MA07313600 NJ Primary

Addresses

Primary practice location

135 Broad St
Suite F
Bloomfield, NJ 07003-2629

Mailing address

135 Broad St
Suite F
Bloomfield, NJ 07003-2629
Phone (973) 707-2916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1902842446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BROAD ST",
            "address_2": "SUITE F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032629",
            "telephone_number": "973-707-2916",
            "fax_number": "201-297-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BROAD ST",
            "address_2": "SUITE F",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032629",
            "telephone_number": "973-707-2916",
            "fax_number": "201-297-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOUDOURIS",
        "first_name": "APOSTOLOS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07313600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.