Healthcare Provider Details

I. General information

NPI: 1841378775
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS OF NORTH JERSEY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 HAMBURG TPKE SUITE 201
WAYNE NJ
07470-2156
US

IV. Provider business mailing address

246 HAMBURG TPKE SUITE 201
WAYNE NJ
07470-2156
US

V. Phone/Fax

Practice location:
  • Phone: 973-942-1141
  • Fax: 973-942-1250
Mailing address:
  • Phone: 973-942-1141
  • Fax: 973-942-1250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOSTAFA SALIMI
Title or Position: PRESIDENT/PHYSICIAN
Credential: M.D., F.A.C.C.
Phone: 973-942-1141