Heart Medicine LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA05258900 Issued in NJ

Legal business name

HEART MEDICINE LLC

Practice address

55 N Gilbert St
Building 3 Suite 3-102
Tinton Falls, NJ 07701-4955

Phone

(732) 389-0266

Fax

(732) 933-4100

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John S Clemente, M.D

Title

President

Phone

(732) 414-8647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1982933271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "address_2": "BUILDING 3 SUITE 3-102",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014955",
            "telephone_number": "732-389-0266",
            "fax_number": "732-933-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "address_2": "BUILDING 3 SUITE 3-102",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014955",
            "telephone_number": "732-389-0266",
            "fax_number": "732-933-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-414-8647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05258900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tong Karen Hao, MD
• Laura Harris, APN
• Kate Harvey
• Donald J Hazley, M.D.
• Healing Birch Recovery LLC Dba Archangel Centers Central
• Heather Wilder Dodds LCSW,LLC
• Richard Heid
• Diane M Henderiks, R.D.
• Jillellen Herzog, LPC
• Salim Hill, LMT

• Cardiovascular Disease Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.