SOUTH JERSEY HEART GROUP, PC (NPI# 1922090786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090786 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY HEART GROUP, PC |
| Practice Address |
3001 Chapel Ave W Suite 101 Cherry Hill NJ 08002-1592 |
| Practice Telephone | 8564828900 |
| Practice Fax Number | 8564827170 |
| Mailing Telephone | 8564828900 |
| Mailing Fax Number | 8564827170 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | SURENDRA K BAGARIA (CO-OWNER) |
| Authorized Official Telephone | 8565890300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA46206 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 569007 | 01 |
| NJ | 7042507 | 05 |
| Street Address |
3001 CHAPEL AVE W SUITE 101 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600367 | Mary Makar | Ophthalmology | 3001 Chapel Ave W, Suite 200, Cherry Hill, NJ 08002-1592 | 2005-06-22 |
| 1003348509 | Acute Chronic Neurocareassociates LLC | Specialist | 3001 Chapel Ave W, Suite 102, Cherry Hill, NJ 08002-1592 | 2017-04-03 |
| 1538241682 | W Reed Kindermann, M.d. P.a. | Ophthalmology | 3001 Chapel Ave W, Suite 200, Cherry Hill, NJ 08002-1592 | 2006-10-19 |
| 1285604918 | W Reed Kindermann | Ophthalmology | 3001 Chapel Ave W, Ste 200, Cherry Hill, NJ 08002-1592 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| 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 |
|---|---|---|---|---|
| 1255468922 | Cardiac Diagnostic Center of Southern New Jersey | Internal Medicine | 1840 Frontage Road Mark 70 Suite 104, Cardiac Diagnostic Center of Southern New Jersey, Cherry Hill, NJ 08034-2228 | 2007-02-28 |
| 1174502462 | Reginald Blaber | Internal Medicine | 1 Brace Rd Ste C4, Cherry Hill, NJ 08034-2600 | 2006-01-13 |
| 1508845124 | Michael Reichman | Internal Medicine | 63 Kresson Rd, Suite #101, Cherry Hill, NJ 08034-3200 | 2006-01-12 |
| 1497747257 | Richard M Gomberg | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2005-08-18 |
| 1730171505 | Jay L Rubenstone | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2005-08-18 |
| 1184987604 | Peter Bulik | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2012-06-19 |
| 1992034037 | Blaber Cardiology At Lourdes Medical Associates | Internal Medicine | 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 | 2009-12-21 |
| 1841440377 | Bryan Saia | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2008-09-20 |
| 1578724324 | Jason Anthony Smith | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2008-06-24 |
| 1154594224 | Kristofer Hillegas | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2008-04-09 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.