MEDICARE: AMERICAN HEART CENTER PC

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	25MA06183300	NJ

General Provider Information

NPI Number	:	1508913898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEART CENTER PC

Provider Business Mailing Address
First Line	:	PO BOX 1207
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07754-1207
Country	:	US
Telephone Number	:	732-663-1123
Fax Number	:	732-663-1179

Provider Business Practice Location Address
First Line	:	1900 CORLIES AVE
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-5197
Country	:	US
Telephone Number	:	732-663-1123
Fax Number	:	732-663-1179

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	ANNE MCBAIN
Credential	:
Telephone Number	:	732-663-1123

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	02/18/2026

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