Provider Demographics
NPI:1558317669
Name:CARDIOLOGY ASSOCIATES OF PRINCETON
Entity type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF PRINCETON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ERCOLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:609-921-7456
Mailing Address - Street 1:731 ALEXANDER ROAD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-921-7456
Mailing Address - Fax:609-921-2172
Practice Address - Street 1:731 ALEXANDER ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:609-921-7456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ685022OtherUNITEDHEALTHCARE GRP
NJ14427OtherAMERIHEALTH PPO GROUP NUM
NJ2796970Medicaid
0158104000OtherAMERIHEALTH
NJ34947OtherAETNA GRP NUMBER
0158104001OtherKEYSTONE-AMERIHEALTH
NJCB7254OtherMEDICARE RAILROAD
0033171OtherGHI
NJCB7254Medicare PIN
NJ2796970Medicaid