Healthcare Provider Details
I. General information
NPI: 1063556702
Provider Name (Legal Business Name): FRANKLIN CARDIOVASCULAR ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2007
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 LIBERTY PL
SICKLERVILLE NJ
08081-5708
US
IV. Provider business mailing address
1100 LIBERTY PL
SICKLERVILLE NJ
08081-5708
US
V. Phone/Fax
- Phone: 856-589-6034
- Fax: 856-589-6036
- Phone: 856-589-6034
- Fax: 856-589-6036
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | NJ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207UN0901X |
| Taxonomy | Nuclear Cardiology Physician |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
NICHOLAS
L
DEPACE
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential: MD
Phone: 856-589-6034