MEDICOR CARDIOLOGY, PA
NPI 1770641532
Specialist in Bridgewater, NJ

Q: What is Medicor Cardiology, PA's NPI number?

The NPI number for Medicor Cardiology, PA is 1770641532. It was assigned to this organization in the NPPES registry on December 5, 2006.

Q: What is Medicor Cardiology, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 05, 2006CLIA 31D0123846 · Waiver

225 JACKSON ST, BRIDGEWATER, NJ 08807(908) 526-8668(908) 231-6781 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Medicor Cardiology, Pa NPPES

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

MEDICOR CARDIOLOGY, PA (NPI 1770641532) is a healthcare organization registered as a specialist in Bridgewater, New Jersey and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Judy Ellison-miller, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1770641532

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMEDICOR CARDIOLOGY, PA

Location Address225 JACKSON STBridgewater, NJ 08807-3060

Mailing Address225 Jackson StBridgewater, NJ 08807-3060 · (908) 526-8668 · Fax (908) 231-6781

Phone(908) 526-8668

Fax(908) 231-6781

Organization SubpartNo

Authorized OfficialJudy Ellison-millerBilling Manager · (908) 243-5004

Enumeration DateDecember 5, 2006

Last NPPES UpdateMay 21, 2008

✔ NPI 1770641532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

225 JACKSON ST, Bridgewater, NJ 08807

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Other Identifiers 2

Medicaid2935902NJ

Medicare ID-Type Unspecified540939NJ · Group Number

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 31D0123846

Medicor Cardiology · Bridgewater, NJ

Active · expires Mar 1, 2027

CLIA Number31D0123846

Laboratory TypePhysician Office

Certificate Effective DateMarch 2, 2025

Certificate Expiration DateMarch 1, 2027

Laboratory DirectorSteven Georgeson

Laboratory Phone(908) 526-8668

Laboratory LocationMedicor Cardiology225 Jackson Street, Bridgewater, NJ 08807

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MRS. JUSTINA PASTORE FNP-C

Nurse Practitioner (Family)