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MORRIS AVENUE MEDICAL CENTER PC NPI 1134369200


NPI Information

NPI: 1134369200
Provider Name: MORRIS AVENUE MEDICAL CENTER PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 31D2050104

Address:
2052 MORRIS AVE
UNION, NJ
ZIP 07083
Phone: (908) 206-1117
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MORRIS AVENUE MEDICAL CENTER PC is a cardiovascular disease internal medicine in Union, NJ. The provider is 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. MORRIS AVENUE MEDICAL CENTER PC NPI is 1134369200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2052 MORRIS AVE
UNION, NJ
ZIP 07083-028
Phone: (908) 206-1117
Fax: (908) 994-8882

The provider's authorized official is Anshu Garg .
The authorized official title is Director and has the following contact phone number (908) 206-1117.

The CLIA number assigned to this NPI record is 31D2050104 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 12/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207UN0901XNuclear MedicineNuclear CardiologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1230581MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.