1841358512 NPI number — CARDIOLOGY ASSOCIATES

Table of content: DR. KATHRYN LORRAINE VELASQUEZ PHARM.D. (NPI 1902575798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841358512 NPI number — CARDIOLOGY ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARDIOLOGY ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841358512
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
999 MCBRIDE AVE
Provider Second Line Business Mailing Address:
SUITE B204
Provider Business Mailing Address City Name:
WEST PATERSON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07424-2570
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-256-5667
Provider Business Mailing Address Fax Number:
973-256-7758

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
999 MCBRIDE AVE
Provider Second Line Business Practice Location Address:
SUITE B204
Provider Business Practice Location Address City Name:
WEST PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07424-2570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-256-5667
Provider Business Practice Location Address Fax Number:
973-256-7758
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RILEY
Authorized Official First Name:
LYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
973-256-5667

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3102602 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com