ABBY MEDICAL CENTER CARDIAC REHABILITATION LLC — NPI 1770352791 (Licensed & Credentialed Radiologic Technologist, Cardiac-Interventional Technology in NEWARK, DE)

CMS-1500 Box 24J / 33a • NPI

1770352791

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2471C1106X

Licensed & Credentialed Radiologic Technologist, Cardiac-Interventional Technology

Box 32 Service Location & ZIP+4

1 CENTURIAN DR STE 303, NEWARK, DE, 19713-2127

✓ 9-Digit EDI 837 ZIP+4 (19713-2127)

Practice Phone & Referral Fax

(302) 229-9857

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770352791 (ABBY MEDICAL CENTER CARDIAC REHABILITATION LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1770352791` (NPI-2 Organization / Facility)
Provider / Legal Name	ABBY MEDICAL CENTER CARDIAC REHABILITATION LLC
Plain-English Specialty	Licensed & Credentialed Radiologic Technologist, Cardiac-Interventional Technology NUCC Code: `2471C1106X` (Radiologic Technologist, Cardiac-Interventional Technology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1 CENTURIAN DR STE 303, NEWARK, DE, 19713-2127
Practice Telephone / Fax	Tel: (302) 229-9857
Administrative Mailing Address	1 CENTURIAN DR STE 303, NEWARK, DE, 19713-2127
Enumeration & Last Sync	Enumerated: 2024-01-02 \| CMS Record Updated: 2024-02-04
Authorized Official	ANTONIO MANJERICO (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1 CENTURIAN DR STE 303, NEWARK, DE, 19713-2127

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Plain-English Taxonomy & CMS Crosswalk (2471C1106X)

What Does Taxonomy Code 2471C1106X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2471C1106X translates to:
"Licensed & Credentialed Radiologic Technologist, Cardiac-Interventional Technology"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiologic Technologist, Cardiac-Interventional Technology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABBY MEDICAL CENTER CARDIAC REHABILITATION LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2471C1106X` — Radiologic Technologist, Cardiac-Interventional Technology Plain English: Licensed & Credentialed Radiologic Technologist, Cardiac-Interventional Technology	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABBY MEDICAL CENTER CARDIAC REHABILITATION LLC (NPI #1770352791)