Provider Demographics
NPI:1427476043
Name:MEADOWLANDS CARDIOLOGY PC
Entity type:Organization
Organization Name:MEADOWLANDS CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PTER
Authorized Official - Middle Name:
Authorized Official - Last Name:TSENOVOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-818-7474
Mailing Address - Street 1:19 MOHAWK AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-2410
Mailing Address - Country:US
Mailing Address - Phone:617-818-7474
Mailing Address - Fax:
Practice Address - Street 1:55 MEADOWLANDS PKWY FL 3
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2977
Practice Address - Country:US
Practice Address - Phone:201-392-3588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09126700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty