Provider Demographics
NPI:1366267650
Name:HEART & VASCULAR ASSOCIATES OF NORTHERN JERSEY, P.A.
Entity type:Organization
Organization Name:HEART & VASCULAR ASSOCIATES OF NORTHERN JERSEY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIKKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-475-5050
Mailing Address - Street 1:22-02 BROADWAY STE 301
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3016
Mailing Address - Country:US
Mailing Address - Phone:201-414-5016
Mailing Address - Fax:
Practice Address - Street 1:22-02 BROADWAY STE 301
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3016
Practice Address - Country:US
Practice Address - Phone:201-414-5016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site