Active NPI
New Wave Cardiology PLLC
- Specialist
- Oakdale, NY
National Provider Identifier
1013359561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1241551
- Legal business name
- NEW WAVE CARDIOLOGY PLLC
- Practice address
- 1237 Montauk Hwy
Oakdale, NY 11769-1434 - Phone
- (631) 615-4411
- NPI assigned
- Jul 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Mitchel, M.D
- Title
- Owner
- Phone
- (631) 615-4411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1241551 | NY | Primary |
Addresses
Primary practice location
1237 Montauk Hwy
Oakdale, NY 11769-1434
Mailing address
1237 Montauk Hwy
Oakdale, NY 11769-1434
Phone (631) 615-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181022001797 | NY | Part B Supplier - Clinic/Group Practice | 0840543880 | Practice locations: Oakdale, NY |
National Provider Directory
National Provider DirectoryLocations
4232 Francis Lewis Blvd
#1
Bayside, NY 11361
Phone (718) 717-0003
11 Ralph Pl
Ste 214
Staten Island, NY 10304
Phone (718) 226-6398
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- North Babylon, NY
- NPI 1568469757
-
- Internal Medicine Physician
- Sayville, NY
- NPI 1922259878
-
- Specialist
- Rockville Centre, NY
- NPI 1437134418
-
- Internal Medicine Physician
- West Babylon, NY
- NPI 1982786687
-
- Family Medicine Physician
- Bohemia, NY
- NPI 1598881526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1013359561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 MONTAUK HWY",
"city": "OAKDALE",
"state": "NY",
"postal_code": "117691434",
"telephone_number": "631-615-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 MONTAUK HWY",
"city": "OAKDALE",
"state": "NY",
"postal_code": "117691434",
"telephone_number": "631-615-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW WAVE CARDIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-25",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "MITCHEL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-615-4411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "1241551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.