Organization Active NPI

Cardiology Center of New Jersy LLC

  • Cardiovascular Disease Physician
  • Belleville, NJ
National Provider Identifier
1962698597
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA02510600 Issued in NJ
Legal business name
CARDIOLOGY CENTER OF NEW JERSY LLC
Practice address
50 Newark Ave Ste 204
Belleville, NJ 07109-1193
Phone
(973) 450-2158
Fax
(973) 450-2027
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Mario A Criscito
Title
Owner
Phone
(973) 450-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA02510600 NJ Primary

Addresses

Primary practice location

50 Newark Ave Ste 204
Belleville, NJ 07109-1193

Mailing address

32 Chelsea Dr
Livingston, NJ 07039-3420
Phone (973) 429-8363

National Provider Directory

National Provider Directory

Locations

50 Newark Ave
Ste 204
Belleville, NJ 07109
Phone (973) 450-2158

Practitioners & affiliated clinicians

Practitioners 1

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1962698597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHELSEA DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393420",
            "telephone_number": "973-429-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE STE 204",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091193",
            "telephone_number": "973-450-2158",
            "fax_number": "973-450-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CENTER OF NEW JERSY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "CRISCITO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-450-2158"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02510600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.