NPIMap

Organization Active NPI

South Jersey Heart Group, PC

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
National Provider Identifier
1922090786
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA46206 Issued in NJ
Legal business name
SOUTH JERSEY HEART GROUP, PC
Practice address
3001 Chapel Ave W
Suite 101
Cherry Hill, NJ 08002-1592
Phone
(856) 482-8900
Fax
(856) 482-7170
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Surendra K Bagaria, MD
Title
Co-Owner
Phone
(856) 589-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MA46206 NJ Primary

Addresses

Primary practice location

3001 Chapel Ave W
Suite 101
Cherry Hill, NJ 08002-1592

Mailing address

3001 Chapel Ave W
Suite 101
Cherry Hill, NJ 08002-1592
Phone (856) 482-8900

Other identifiers 2

IdentifierTypeStateIssuer
569007OtherNJAETNA
7042507MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3001 Chapel Ave W
Ste 101
Cherry Hill, NJ 08002
Phone (856) 482-8900

440 CRK Xing Blvd
Ste 404
Hainsport, NJ 08036
Phone (609) 261-3917

220 Sunset Rd
Ste 3C
Willingboro, NJ 08046
Phone (609) 835-3620

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1922090786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CHAPEL AVE W",
            "address_2": "SUITE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021592",
            "telephone_number": "856-482-8900",
            "fax_number": "856-482-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 CHAPEL AVE W",
            "address_2": "SUITE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021592",
            "telephone_number": "856-482-8900",
            "fax_number": "856-482-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY HEART GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "BAGARIA",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "856-589-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA46206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "569007",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7042507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.