Active NPI
Heart Health Center
- Medical Specialty Clinic/Center
- Galloway, NJ
National Provider Identifier
1982010468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 25MA07979800
- Legal business name
- HEART HEALTH CENTER
- Practice address
- 54 W Jimmie Leeds Rd
Suite # 14
Galloway, NJ 08205-9438 - Phone
- (609) 652-1868
- Fax
- (609) 423-1990
- NPI assigned
- Jul 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Viren Vankawala, MD
- Title
- Owner
- Phone
- (609) 365-0730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 25MA07979800 | NJ | Primary |
Addresses
Primary practice location
54 W Jimmie Leeds Rd
Suite # 14
Galloway, NJ 08205-9438
Mailing address
427 E Brook LN
Galloway, NJ 08205-2920
Phone (609) 365-0730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010770 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404950400000",
"number": "1982010468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 E BROOK LN",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082052920",
"telephone_number": "609-365-0730",
"fax_number": "609-423-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W JIMMIE LEEDS RD",
"address_2": "SUITE # 14",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059438",
"telephone_number": "609-652-1868",
"fax_number": "609-423-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-10",
"status": "A",
"authorized_official_last_name": "VANKAWALA",
"authorized_official_first_name": "VIREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-365-0730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NJ",
"license": "25MA07979800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010770",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galloway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.