ROCHELLE PARK CARDIAC CARE CENTER LLC (NPI# 1124362751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124362751 |
| Entity Type | Organization |
| Organization Name | ROCHELLE PARK CARDIAC CARE CENTER LLC |
| Practice Address |
186 Rochelle Ave Rochelle Park NJ 07662-4111 |
| Mailing Address |
Po Box 340 New Milford NJ 07646-0340 |
| Practice Telephone | 2015018500 |
| Practice Fax Number | 2015018523 |
| Mailing Telephone | 2015018500 |
| Mailing Fax Number | 2015018523 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | CONSTANTINE ROSSAKIS (MANAGING MEMBER) |
| Authorized Official Telephone | 2014893440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
186 ROCHELLE AVE |
| City | ROCHELLE PARK |
| State | NJ |
| Zip Code | 07662-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695336 | James Richard Clifford | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2005-08-09 |
| 1104168616 | Rochelle Park Cardiac Center Corporation | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2013-03-22 |
| 1437449691 | Betsy Mathew Varghese | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662 | 2011-04-08 |
| 1427347459 | Paul Keshishian, D.o., P.C. | Clinic/Center | 186 Rochelle Ave, Suite #2a, Rochelle Park, NJ 07662-4111 | 2011-03-30 |
| 1982871638 | Adrianna Komeshok | Nurse Practitioner | 186 Rochelle Ave, Rochelle Park, NJ 07662-4122 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152959 | In-session Psychotherapy Services, LLC | Marriage & Family Therapist | 151 W. Passaic Street, Office #30, Rochelle Park, NJ 07662 | 2019-06-11 |
| 1518409929 | Sensorywellness, LLC | Occupational Therapist | 336 West Passaic St, Rochelle Park, NJ 07662 | 2016-11-16 |
| 1083030076 | The Lasik Vision Institute LLC | Clinic/Center | 336 West Passaic Street, Suite 202, Rochelle Park, NJ 07662 | 2014-03-14 |
| 1023386869 | Criselda Pineda | Physical Therapist | 94 West Oldis Street, Rochelle Park, NJ 07662 | 2011-12-08 |
| 1205138500 | Jaehoon Chung | Internal Medicine | 216 Rout 17 North, Suite 201, Rochelle Park, NJ 07662 | 2010-11-19 |
| 1639355720 | Bergen Care Home Health, LLC | Home Health | 365 W. Passaic Street, Suite 115, Rochelle Park, NJ 07662 | 2008-01-18 |
| 1700977535 | Humberto Luis Martinez | Psychiatry & Neurology | 175 Rochelle Avenue, Unit 323, Rochelle Park, NJ 07662 | 2006-09-27 |
| 1982702700 | New Jersey Cvs Pharmacy LLC | Pharmacy | 150 Rochelle Ave, Rochelle Park, NJ 07662 | 2006-09-20 |
| 1437169745 | Thomas John Mazejy | Dentist | 5 W Passaic St, Rochelle Park, NJ 07662 | 2006-08-09 |
| 1851392435 | Leonardo Joseph Divagno | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662 | 2005-08-09 |
| Find all providers in zip 07662 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205138500 | Jaehoon Chung | Internal Medicine | 216 Rout 17 North, Suite 201, Rochelle Park, NJ 07662 | 2010-11-19 |
| 1588680110 | Divagno Interventional Cardiology Md Pa | Internal Medicine | 218 State Rt 17 N, Suite 310, Rochelle Park, NJ 07662-3399 | 2006-07-15 |
| 1851392435 | Leonardo Joseph Divagno | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662 | 2005-08-09 |
| 1104168616 | Rochelle Park Cardiac Center Corporation | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2013-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
| 1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
| 1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
| 1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
| 1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
| 1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
| 1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
| Find all providers with the same taxonomy | ||||
| City | ROCHELLE PARK |
| Zip Code | 07662 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.