MEDICARE: CARDIOLOGY ASSOCIATES OF SUSSEX COUNTY, LLP

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CI4894	OTHER		RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1679522429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY ASSOCIATES OF SUSSEX COUNTY, LLP

Provider Business Mailing Address
First Line	:	222 HIGH ST
Second Line	:	SUITE 205
City	:	NEWTON
State	:	NJ
Zip	:	07860-9605
Country	:	US
Telephone Number	:	973-579-2100
Fax Number	:	973-579-6638

Provider Business Practice Location Address
First Line	:	222 HIGH ST
Second Line	:	SUITE 205
City	:	NEWTON
State	:	NJ
Zip	:	07860-9612
Country	:	US
Telephone Number	:	973-579-2100
Fax Number	:	973-579-6638

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ROBERT L MASCI
Credential	:	M.D.
Telephone Number	:	973-579-2100

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/31/2017

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