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ADVANCED CARDIOVASCULAR CARE OF HUDSON VALLEY
NPI 1063716132
Internal Medicine - Cardiovascular Disease in Northvale, NJ

Active since January 05, 2011CLIA 33D1025440 · Waiver
220 LIVINGSTON ST, NORTHVALE, NJ 07647(201) 710-5955(201) 710-5955 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Cardiovascular Care Of Hudson Valley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED CARDIOVASCULAR CARE OF HUDSON VALLEY (NPI 1063716132) is a healthcare organization registered as a cardiovascular disease in Northvale, New Jersey and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists David B Southren, President, as its authorized official.

NPPES Registry Identity

NPI1063716132
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameADVANCED CARDIOVASCULAR CARE OF HUDSON VALLEY
Location Address220 LIVINGSTON STNorthvale, NJ 07647-1738
Mailing Address206 Route 303Valley Cottage, NY 10989-2019 · (845) 268-0880 · Fax (845) 268-0882
Phone(201) 710-5955
Fax(201) 710-5955
Organization SubpartNo
Authorized OfficialDavid B SouthrenPresident · (845) 268-0880
Enumeration DateJanuary 5, 2011
✔ NPI 1063716132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA05521000
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
220 LIVINGSTON ST, Northvale, NJ 07647
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1025440

Advance Cardiovascular Care · West Nyack, NY
Active · expires Mar 26, 2027
CLIA Number33D1025440
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. David B. Southren
Laboratory Phone(845) 268-0880
Laboratory LocationAdvance Cardiovascular Care2 Medical Park Dr - Suite 3, West Nyack, NY 10994
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHYAM KUNADIA
Physical Therapy Assistant
220 LIVINGSTON ST
NORTHVALE, NJ 07647
Bergen County (201) 564-7515
MICHELLE RIBUSTELLO PT, DPT
Physical Therapist
220 LIVINGSTON ST, #112
NORTHVALE, NJ 07647
Bergen County (201) 564-7515
SCIENCE GLADIATORS LLC
Pharmacy (Community/Retail Pharmacy)
220 LIVINGSTON ST
NORTHVALE, NJ 07647
Bergen County (201) 767-2621
MS. SAMANTHA BECK M.S., CCC-SLP
Specialist/Technologist (Audiology Assistant)
220 LIVINGSTON ST, SUITE 112
NORTHVALE, NJ 07647
Bergen County (201) 638-0502
DAVID YOON
Pharmacist
220 LIVINGSTON ST
NORTHVALE, NJ 07647
Bergen County (201) 322-9090
CHRISTOPHER MERCADO PT
Physical Therapist
220 LIVINGSTON ST, SUITE 112
NORTHVALE, NJ 07647
Bergen County (201) 564-7515
MOLLY HALSCH
Occupational Therapy Assistant
220 LIVINGSTON ST
NORTHVALE, NJ 07647
Bergen County (201) 564-7515
DYNAMIC PHYSICAL THERAPY AND SPORTS REHABILITATIONS
Clinic/Center (Physical Therapy)
220 LIVINGSTON ST, SUITE 112
NORTHVALE, NJ 07647
Bergen County (201) 564-7515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Cardiovascular Care Of Hudson Valley's NPI number?

The NPI number for Advanced Cardiovascular Care Of Hudson Valley is 1063716132. It was assigned to this organization in the NPPES registry on January 5, 2011.

Where is Advanced Cardiovascular Care Of Hudson Valley located?

Advanced Cardiovascular Care Of Hudson Valley is located at 220 Livingston St, Northvale, NJ 07647. The listed phone number is (201) 710-5955.

What is Advanced Cardiovascular Care Of Hudson Valley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Advanced Cardiovascular Care Of Hudson Valley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1025440) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Cardiovascular Care Of Hudson Valley was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.