NPIMap

Organization Active NPI

Centrastate Cardiology PC

Doing business as CentraState Specialists Cardiology

  • Interventional Cardiology Physician
  • Manalapan, NJ
National Provider Identifier
1942972542
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CENTRASTATE CARDIOLOGY PC
Doing business as
CentraState Specialists Cardiology
Practice address
831 Tennent Rd Ste 1F
Manalapan, NJ 07726-8289
Phone
(732) 851-4700
Fax
(732) 851-4703
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Howard Stein, DO
Title
President
Phone
(732) 431-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

831 Tennent Rd Ste 1F
Manalapan, NJ 07726-8289

Mailing address

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Other practice location 1

201 N County Line Rd
Jackson, NJ 08527-4424
Phone (732) 994-5544

Other practice location 2

2 Hospital Plz Ste 450
Old Bridge, NJ 08857-3154
Phone (732) 416-6915

Other names 1

  • CentraState Specialists Cardiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211110000333 NJ Part B Supplier - Clinic/Group Practice 4981093119 Receives reassigned benefits from 11 practitioners
Practice locations: Old Bridge, NJ; Manalapan, NJ; Jackson, NJ

National Provider Directory

National Provider Directory

Locations

2 Hospital Plz
Ste 450
Old Bridge, NJ 08857
Phone (732) 416-6915

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1942972542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-431-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD STE 1F",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268289",
            "telephone_number": "732-851-4700",
            "fax_number": "732-851-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085274424",
            "country_code": "US",
            "telephone_number": "732-994-5544",
            "fax_number": "732-994-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hospital Plz Ste 450",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573154",
            "country_code": "US",
            "telephone_number": "732-416-6915",
            "fax_number": "732-416-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRASTATE CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-431-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraState Specialists Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.