CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A. – NPI #1174652077
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A. is a thoracic surgeon located in GLEN RIDGE, NJ. NPPES has assigned the NPI number 1174652077 to CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A. on March 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 16 years ago on Jul 06, 2010. 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 CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A. below.

NPI Profile for
CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.

NPI Number
1174652077
Enumeration Date

(more than 19 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
CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.
Primary location
123 HIGHLAND AVE
SUITE G2
GLEN RIDGE, NJ 07028-1527
Phone: (973) 743-9900 Fax: (973) 743-3222
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENNETH HOLWITT
CHIEF EXECUTIVE OFFICER
Phone: (973) 743-9900
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 NJ MA37001

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.