ADVANCED GARDEN STATE CARDIOLOGY LLC – NPI #1639481583
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

ADVANCED GARDEN STATE CARDIOLOGY LLC is a provider located in JERSEY CITY, NJ. NPPES has assigned the NPI number 1639481583 to ADVANCED GARDEN STATE CARDIOLOGY LLC on July 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Oct 11, 2022. 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 ADVANCED GARDEN STATE CARDIOLOGY LLC below.

NPI Profile for
ADVANCED GARDEN STATE CARDIOLOGY LLC

NPI Number
1639481583
Enumeration Date

(about 16 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
ADVANCED GARDEN STATE CARDIOLOGY LLC
Primary location
550 NEWARK AVE
SUITE 307
JERSEY CITY, NJ 07306-1326
Phone: (201) 418-9111 Fax: (201) 418-9118
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MERWIN RICHARD
PRESIDENT/OWNER
Phone: (201) 418-9111
Updated
Certification Date
Oct 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
NJ 25MA07291400

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.