MEDICARE: OCEAN HEART INC.

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	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295756641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN HEART INC.

Provider Business Mailing Address
First Line	:	PO BOX 178
Second Line	:
City	:	COLONIA
State	:	NJ
Zip	:	07067-0178
Country	:	US
Telephone Number	:	973-371-3166
Fax Number	:	973-371-3266

Provider Business Practice Location Address
First Line	:	2010 SPRINGFIELD AVE
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3437
Country	:	US
Telephone Number	:	973-371-3166
Fax Number	:	973-371-3266

Authorized Official
Title or Position	:	M.D
Name	:	SUNIL PATEL
Credential	:
Telephone Number	:	973-371-3166

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	02/17/2014

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Directions to “OCEAN HEART INC. ” Practice Location

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