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NPI Code Detail

MEDICARE: CARDIOPULMONARY DIAGNOSTICS & REHAB

MEDICARE: CARDIOPULMONARY DIAGNOSTICS & REHAB
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
1207RC0000XCardiovascular Disease Physician
2207Q00000XFamily Medicine Physician
3208VP0014XInterventional Pain Medicine Physician
4261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125055OTHERNJCOMPREHENSIVE OUTPATIENT REHAB FACILITY

General Provider Information

NPI Number : 1518732999
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOPULMONARY DIAGNOSTICS & REHAB
Provider Business Mailing Address
First Line : 20 MEADOWLANDS PKWY
Second Line :
City : SECAUCUS
State : NJ
Zip : 07094-2944
Country : US
Telephone Number : 201-381-4800
Fax Number :
Provider Business Practice Location Address
First Line : 20 MEADOWLANDS PKWY
Second Line :
City : SECAUCUS
State : NJ
Zip : 07094-2944
Country : US
Telephone Number : 201-381-4800
Fax Number : 201-552-2918
Authorized Official
Title or Position : CEO
Name : SAIFULLA KHALED CHAUDHARY
Credential :
Telephone Number : 973-262-2909
Provider Enumeration Date : 11/16/2023
Last Update Date : 01/28/2026

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Directions to “CARDIOPULMONARY DIAGNOSTICS & REHAB ” Practice Location

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