Essex Heart Group, LLC
Specialist in Montclair, NJ. Organization (NPI-2).
NPI number1205972759
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1205972759
- Entity type
- Organization (NPI-2)
- Legal business name
- Essex Heart Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 16, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 25ma05289200 | NJ | Yes |
Practice location
62 S Fullerton AveMontclair, NJ 07042-2629
Phone 973-746-8585
Mailing address
62 S Fullerton AveMontclair, NJ 07042-2629
Phone 973-746-8585
Authorized official
Kenneth P. Miller
Partner
9737468585
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