SURENDRA K BAGARIA (NPI# 1346232105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346232105 |
| Entity Type | Individual |
| Full Name | SURENDRA K BAGARIA |
| Credential | MD |
| Practice Address |
539 Egg Harbor Rd Ste 1 Lourdes Cardiology Services, P.C. Sewell NJ 08080-2371 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8565890300 |
| Practice Fax Number | 8565891753 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA04620600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
25MA04620600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0586901 | 05 |
| Street Address |
539 EGG HARBOR RD STE 1 LOURDES CARDIOLOGY SERVICES, P.C. |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588177356 | Patrice Marie Schneider | Nurse Practitioner | 539 Egg Harbor Rd Ste 1, Sewell, NJ 08080-2371 | 2017-11-14 |
| 1134472186 | Charaia A Hill | Nurse Practitioner | 539 Egg Harbor Rd Ste 1, Sewell, NJ 08080-2371 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427064203 | Amarnath Avancha Pa | Nuclear Medicine | 124 Gregory Ave., Unit 102, Passaic, NJ 07055-4856 | 2006-07-31 |
| 1760419659 | Terry D Friedman | Nuclear Medicine | 1400 Route 70 E, Cherry Hill, NJ 08034-2230 | 2006-06-27 |
| 1003892779 | Moein Faghih Vaseghi | Nuclear Medicine | 282 South Ave Ste 102, Fanwood, NJ 07023-1346 | 2005-12-15 |
| 1922638097 | Icahn School of Medicine At Mount Sinai | Nuclear Medicine | 103 River Rd Fl 2, Edgewater, NJ 07020-1016 | 2020-01-17 |
| 1841589298 | Sovereign Medical Group LLC | Nuclear Medicine | 630 Broad St, Carlstadt, NJ 07072-1169 | 2011-04-06 |
| 1841528080 | Astra Md P C | Nuclear Medicine | 550 Bloomfield Ave, Newark, NJ 07107-1386 | 2009-11-30 |
| 1386821395 | Diagnostic Imaging of Bergen, LLC | Nuclear Medicine | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2008-01-22 |
| 1295918068 | You G Ding | Nuclear Medicine | 44 Sylvan Ave, Ste 1e, Englewood Cliffs, NJ 07632-2426 | 2007-12-14 |
| 1669693875 | Kristopher F Young | Nuclear Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2007-05-02 |
| 1699805978 | Holy Name Hospital Ekg Interpretation Group | Nuclear Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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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.