Provider Demographics
NPI:1518027085
Name:CARDIOLOGIST - INTERNIST ASSOCIATES, P.A.
Entity type:Organization
Organization Name:CARDIOLOGIST - INTERNIST ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:202-489-3888
Mailing Address - Street 1:211 ESSEX ST
Mailing Address - Street 2:SUITE: 104
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-3244
Mailing Address - Country:US
Mailing Address - Phone:201-489-3888
Mailing Address - Fax:201-301-7351
Practice Address - Street 1:211 ESSEX ST
Practice Address - Street 2:SUITE: 104
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3244
Practice Address - Country:US
Practice Address - Phone:201-489-3888
Practice Address - Fax:201-301-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCA150305Medicare ID - Type Unspecified
NJ228710Medicare PIN