KEYSTONE CARDIOVASCULAR CENTER LLC – NPI #1902299621
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

KEYSTONE CARDIOVASCULAR CENTER LLC is an AHC clinic located in MAYWOOD, NJ. NPPES has assigned the NPI number 1902299621 to KEYSTONE CARDIOVASCULAR CENTER LLC on March 05, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 7 years ago on Jan 24, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEYSTONE CARDIOVASCULAR CENTER LLC below.

NPI Profile for
KEYSTONE CARDIOVASCULAR CENTER LLC

NPI Number
1902299621
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEYSTONE CARDIOVASCULAR CENTER LLC
Primary location
255 W SPRING VALLEY AVE STE 200
MAYWOOD, NJ 07607
Phone: (201) 882-6088 Fax:
2 Other location(s):
255 W Spring Valley Ave Ste 200
Maywood, NJ 07607-1444
Phone: (201) 882-6088
1200 E Ridgewood Ave
Suite 205
Ridgewood, NJ 07450-3957
Phone: (201) 447-3690
Fax: (201) 447-3691
Mailing address
PO BOX 40
PARAMUS, NJ 07653-0040
Phone: (201) 882-6088 Fax: (201) 447-3691
Organization Subpart
No
Authorized Official
DEMETRIOS PANAGIOTOU
FOUNDER
Phone: (201) 956-4886
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
NJ 25MA08814900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.