Organization Active NPI

Holmdel Cardiology & Internal Medicine Assoc PA

  • Internal Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1992977706
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOLMDEL CARDIOLOGY & INTERNAL MEDICINE ASSOC PA
Practice address
733 N Beens St
Suite L2
Holmdel, NJ 07733-1513
Phone
(732) 264-4020
Fax
(732) 264-1292
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Mr. Chen Pang Su, MD
Title
President
Phone
(732) 264-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

733 N Beens St
Suite L2
Holmdel, NJ 07733-1513

Mailing address

733 N Beens St
Suite L2
Holmdel, NJ 07733-1513
Phone (732) 264-4020

National Provider Directory

National Provider Directory

Locations

733 N Beers St
Ste L2
Holmdel, NJ 07733
Phone (201) 264-4020

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1992977706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N BEENS ST",
            "address_2": "SUITE L2",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-264-4020",
            "fax_number": "732-264-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEENS ST",
            "address_2": "SUITE L2",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-264-4020",
            "fax_number": "732-264-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL CARDIOLOGY & INTERNAL MEDICINE ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "CHEN",
        "authorized_official_middle_name": "PANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-264-4020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.