| New Jersey Heart And Vein | |
|
855 Valley Rd Ste 112b Clifton NJ 07013-2441 | |
| (973) 327-5000 | |
| (973) 327-5555 |
| Full Name | New Jersey Heart And Vein |
|---|---|
| Speciality | Internal Medicine |
| Location | 855 Valley Rd Ste 112b, Clifton, New Jersey |
| Authorized Official Name and Position | Joseph A Daibes (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9733275000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Heart And Vein 855 Valley Rd Ste 112b Clifton NJ 07013-2441 Ph: (973) 327-5000 | New Jersey Heart And Vein 855 Valley Rd Ste 112b Clifton NJ 07013-2441 Ph: (973) 327-5000 |
| NPI Number | 1437859832 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 6406211259 |
|---|---|
| Medicare Enrollment ID | O20230429000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437859832 | NPI | - | NPPES |
| 25MB10927700 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Joseph Amir Daibes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841652930 PECOS PAC ID: 2466797287 Enrollment ID: I20230429000191 |
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