MEDICARE: HORIZON CARDIOLOGY ASSOCIATES LLC

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	:	1811929953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON CARDIOLOGY ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	258 N NEW ROAD
Second Line	:
City	:	PLEASANTVILLE
State	:	NJ
Zip	:	08232
Country	:	US
Telephone Number	:	609-646-4064
Fax Number	:	609-272-8526

Provider Business Practice Location Address
First Line	:	6601 VENTNOR AVE
Second Line	:	SUITE 12
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2167
Country	:	US
Telephone Number	:	609-887-4711
Fax Number	:	608-887-4718

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ILYAS RAJPUT
Credential	:	MD
Telephone Number	:	609-646-4064

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/22/2020

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