Provider Demographics
NPI:1972643682
Name:ESSEX VALLEY CARDIOLOGY LLC
Entity type:Organization
Organization Name:ESSEX VALLEY CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYANT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-678-5700
Mailing Address - Street 1:345 HENRY ST STE 105
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2577
Mailing Address - Country:US
Mailing Address - Phone:973-678-5700
Mailing Address - Fax:973-414-0963
Practice Address - Street 1:300 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2819
Practice Address - Country:US
Practice Address - Phone:973-266-4598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 31166174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty