Pediatric Cardiology of Li PC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

175239 Issued in NY

Legal business name

PEDIATRIC CARDIOLOGY OF LI PC

Practice address

100 Port Washington Blvd
Suite 108
Roslyn, NY 11576-1347

Phone

(516) 365-3340

Fax

(516) 365-5512

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Ambrose M. Vallone, M.D.NPI 1750340444

Title

Partner

Phone

(516) 365-3340

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Cardiology of LI Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Ambrose Vallone, MD

  • Pediatric Cardiology Physician
  • Roslyn, NY
  • NPI 1750340444
  Medicare reassignment Care Compare group NPD Authorized official
• Sean Levchuck, MD

  • Pediatric Cardiology Physician
  • Roslyn, NY
  • NPI 1134188352
  Medicare reassignment Care Compare group NPD
• Douglas Michael Luxenberg, D.O.

  • Pediatric Cardiology Physician
  • Roslyn, NY
  • NPI 1255343281
  Medicare reassignment Care Compare group NPD
• Namrita Mozumdar, M.D.

  • Pediatric Cardiology Physician
  • New Hyde Park, NY
  • NPI 1114330735
  Medicare reassignment NPD
• Ann Margaret Santa-Ines, M.D.

  • Pediatric Cardiology Physician
  • Roslyn, NY
  • NPI 1437550340
  Medicare reassignment NPD
• Milton J Reitman, M.D.

  • Pediatric Cardiology Physician
  • Dix Hills, NY
  • NPI 1124007281
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1003883653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "SUITE 108",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-365-3340",
            "fax_number": "516-365-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "SUITE 108",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-365-3340",
            "fax_number": "516-365-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY OF LI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "VALLONE",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-365-3340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "175239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "175239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Cardiology of LI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dilip V Patel, MD
• Priya P Patel, OD
• Punam Patel, PA-C
• Patrick J. Monteleone, M.D. PC
• Shelly Pearlstein
• Kerri Pere Dalessio, MASTER SPECIAL ED
• Marsha Perlmutter
• Harrynauth Persaud, RPA-C
• Pervaiz Iqbal Physician PC
• Perry S Perzov, DDS, FAGD

• Pediatric Cardiology Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Pediatric Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.