Healthcare Provider Details

I. General information

NPI: 1497813257
Provider Name (Legal Business Name): NORTH ARLINGTON CARDIOLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 RIDGE RD
NORTH ARLINGTON NJ
07031-6318
US

IV. Provider business mailing address

62 RIDGE RD
NORTH ARLINGTON NJ
07031-6318
US

V. Phone/Fax

Practice location:
  • Phone: 201-991-8565
  • Fax: 201-991-2408
Mailing address:
  • Phone: 201-991-8565
  • Fax: 201-991-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ATHOS ANASTASIADES
Title or Position: VP
Credential: MD
Phone: 201-991-8565