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CATHEDRAL CARDIAC SPECIALISTS, PC
NPI 1790739993
Internal Medicine - Critical Care Medicine in Newark, NJ

Active since May 20, 2006
111 CENTRAL AVE, 3RD FLOOR, NEWARK, NJ 07102(973) 877-5300(973) 877-2621 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Cathedral Cardiac Specialists, Pc NPPES

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

CATHEDRAL CARDIAC SPECIALISTS, PC (NPI 1790739993) is a healthcare organization registered as a critical care medicine in Newark, New Jersey and active in the NPI registry since May 2006. The organization lists Mark Connolly, Director, as its authorized official.

NPPES Registry Identity

NPI1790739993
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameCATHEDRAL CARDIAC SPECIALISTS, PC
Location Address111 CENTRAL AVE, 3RD FLOORNewark, NJ 07102-1909
Mailing Address111 Central Ave, 3rd FloorNewark, NJ 07102-1909 · (973) 877-5300 · Fax (973) 877-2621
Phone(973) 877-5300
Fax(973) 877-2621
Organization SubpartNo
Authorized OfficialMark ConnollyDirector · (973) 877-5300
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1790739993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. MONIQUE ALMOND ANTONIA PRINCE MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (929) 513-0312
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Cathedral Cardiac Specialists, PC's NPI number?

The NPI number for Cathedral Cardiac Specialists, PC is 1790739993. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Cathedral Cardiac Specialists, PC located?

Cathedral Cardiac Specialists, PC is located at 111 Central Ave 3rd Floor, Newark, NJ 07102. The listed phone number is (973) 877-5300.

What is Cathedral Cardiac Specialists, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Cathedral Cardiac Specialists, PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.