Provider Demographics
NPI:1154611937
Name:UNIVERSITY CARDIOLOGY ASSOCIATES, LLC
Entity type:Organization
Organization Name:UNIVERSITY CARDIOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-895-9700
Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:SUITE 809
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1997
Mailing Address - Country:US
Mailing Address - Phone:201-457-3366
Mailing Address - Fax:201-457-9050
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 809
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1997
Practice Address - Country:US
Practice Address - Phone:201-457-3366
Practice Address - Fax:201-457-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA063567207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty