MEDICARE: CROSS COUNTY CARDIOLOGY P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA05187300	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CI3339	OTHER	NJ	RAILROAD MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0074887000	OTHER	NJ	AMERIHEALTH GROUP#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215974118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSS COUNTY CARDIOLOGY P A

Provider Business Mailing Address
First Line	:	103 RIVER RD
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1010
Country	:	US
Telephone Number	:	201-941-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 RIVER RD
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1010
Country	:	US
Telephone Number	:	201-941-8100
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. RICK PUMILL
Credential	:	MD
Telephone Number	:	201-941-8100

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	11/15/2019

Similar Medicare Providers

1376548719 — DR. YARON BAREKET M.D.
Practice Location Address:

103 RIVER RD
EDGEWATER, NJ
07020-1010

Practice Phone: 201-941-8100
Practice Fax: 201-941-2899

1538164975 — DR. RICK PUMILL M.D.
Practice Location Address:

103 RIVER RD
EDGEWATER, NJ
07020-1010

Practice Phone: 201-941-8100
Practice Fax: 201-941-2899

1073518411 — DR. FERNANDO SEGOVIA M.D.
Practice Location Address:

103 RIVER RD
EDGEWATER, NJ
07020-1010

Practice Phone: 201-941-8100
Practice Fax: 201-941-2899

1003882598 — BRIAN BECHTOLD
Practice Location Address:

103 RIVER RD
EDGEWATER, NJ
07020-1010

Practice Phone: 201-941-8100
Practice Fax: 201-941-2899

1235839903 — BRIAN QUAN
Practice Location Address:

1033 RIVER RD
EDGEWATER, NJ
07020-1351

Practice Phone: 201-224-0900
Practice Fax:

1255222477 — CLARITY BEACON PSYCHOLOGY GROUP LLC
Practice Location Address:

42 MARINERS CV
EDGEWATER, NJ
07020-1293

Practice Phone: 917-407-3441
Practice Fax:

Directions to “CROSS COUNTY CARDIOLOGY P A ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.