Provider Demographics
NPI:1144265828
Name:HEART SPECIALISTS OF CENTRAL JERSEY
Entity type:Organization
Organization Name:HEART SPECIALISTS OF CENTRAL JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRAGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-866-0811
Mailing Address - Street 1:901 W MAIN ST STE 205
Mailing Address - Street 2:CN 5050
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2537
Mailing Address - Country:US
Mailing Address - Phone:732-866-0800
Mailing Address - Fax:732-866-0018
Practice Address - Street 1:901 W MAIN ST
Practice Address - Street 2:SUITE 205 CN 5050
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-866-0800
Practice Address - Fax:732-866-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2169471OtherAETNA HMO
NJ4562582OtherAETNA PPO
CG0650OtherRR MEDICARE
NJ4562582OtherAETNA PPO