=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134433949
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTH RIDGE HEART ASSOCIATES PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2010
-----------------------------------------------------
Last Update Date | 01/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9325 GLADES RD STE 105
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33434-3988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-488-5535
-----------------------------------------------------
Fax | 561-516-8768
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9325 GLADES RD STE 105
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33434-3988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-488-5535
-----------------------------------------------------
Fax | 561-516-8768
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DOMINIK CHRZAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 561-430-3599
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------