New York Heart and Vascular Specialists PC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

NEW YORK HEART AND VASCULAR SPECIALISTS PC

Practice address

3309 Church Ave
Brooklyn, NY 11203-2711

Phone

(347) 425-1789

Fax

(347) 240-4434

NPI assigned

Feb 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gopi K Punukolly, MD

Title

Owner

Phone

(347) 425-1789

Specialties & licenses 1

Addresses

Tax ID family

New York Heart and Vascular Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New York Heart and Vascular Specialists PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1649585399
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gopi K Punukollu, M.D

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1184839284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1003180738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032711",
            "telephone_number": "347-425-1789",
            "fax_number": "347-240-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032711",
            "telephone_number": "347-425-1789",
            "fax_number": "347-240-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK HEART AND VASCULAR SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "PUNUKOLLY",
        "authorized_official_first_name": "GOPI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-425-1789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Interventional Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.