Organization Active NPI

Heart Health Center

  • Medical Specialty Clinic/Center
  • Galloway, NJ
National Provider Identifier
1982010468
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA07979800 Issued in NJ
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

Updated by the provider on Jul 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010770MedicaidNJ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.