KEYSTONE CARDIOVASCULAR CENTER LLC
NPI 1902299621
Clinic/Center - Medical Specialty in Maywood, NJ

Active since March 05, 2015
255 W SPRING VALLEY AVE STE 200, MAYWOOD, NJ 07607(201) 882-6088 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keystone Cardiovascular Center Llc NPPES

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

KEYSTONE CARDIOVASCULAR CENTER LLC (NPI 1902299621) is a healthcare organization registered as a medical specialty in Maywood, New Jersey and active in the NPI registry since March 2015. The organization maintains 2 additional practice locations and lists Demetrios Panagiotou, Founder, as its authorized official.

NPPES Registry Identity

NPI1902299621
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameKEYSTONE CARDIOVASCULAR CENTER LLC
Location Address255 W SPRING VALLEY AVE STE 200Maywood, NJ 07607
Mailing AddressPo Box 40Paramus, NJ 07653-0040 · (201) 882-6088 · Fax (201) 447-3691
Organization SubpartNo
Authorized OfficialDemetrios PanagiotouFounder · (201) 956-4886
Enumeration DateMarch 5, 2015
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1902299621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NJ · 25MA08814900
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
255 W SPRING VALLEY AVE STE 200, Maywood, NJ 07607

Secondary Practice Locations 2

Location 11200 E Ridgewood Ave, Suite 205Ridgewood, NJ 07450-3957 · Phone (201) 447-3690 · Fax (201) 447-3691
Location 2255 W Spring Valley Ave Ste 200Maywood, NJ 07607-1444 · Phone (201) 882-6088

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keystone Cardiovascular Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Keystone Cardiovascular Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Cardiovascular Disease (Cardiology)
NPI 1225284706
255 W SPRING VALLEY AVE STE 200
Maywood, NJ 07607
(201) 882-6088
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629822317
255 W SPRING VALLEY AVE STE 200
Maywood, NJ 07607
(201) 425-0456
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740081496
1 SEARS DR
Paramus, NJ 07652
(201) 556-1225
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1356929863
55 MORRIS AVE
Springfield, NJ 07081
(973) 759-1221
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1437803616
1 UNION STREET STE 203
Robbinsville, NJ 08691
(732) 930-4391
✔ PECOS✔ Accepts Medicare56 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keystone Cardiovascular Center LLC's NPI number?

The NPI number for Keystone Cardiovascular Center LLC is 1902299621. It was assigned to this organization in the NPPES registry on March 5, 2015.

Where is Keystone Cardiovascular Center LLC located?

Keystone Cardiovascular Center LLC is located at 255 W Spring Valley Ave Ste 200, Maywood, NJ 07607. The listed phone number is (201) 882-6088.

What is Keystone Cardiovascular Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Keystone Cardiovascular Center LLC enrolled in Medicare?

Yes. Keystone Cardiovascular Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keystone Cardiovascular Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Keystone Cardiovascular Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keystone Cardiovascular Center LLC was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.