Cardiology Consultants of Greater Philadelphia PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD435017 Issued in PA

Legal business name

CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC

Practice address

10752 Bustleton Ave
Suite G
Philadelphia, PA 19116-3367

Phone

(267) 307-9236

NPI assigned

Jan 24, 2013

Last updated

Mar 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina M Joukova, M.D., PH.D.

Title

Owner

Phone

(267) 307-9236

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bustleton Healthcare

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1588107668
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yelena Y Shrayber, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1922038199
  NPD
• Jonathan M. Cox, M.D.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1013987544
  NPD (past)
• Ali Shahryar Zarrinkhameh, MD

  • Cardiovascular Disease Physician
  • Fresno, CA
  • NPI 1346210622
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1023356144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LOCUST ST",
            "address_2": "APT. 23P",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024223",
            "telephone_number": "267-307-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 BUSTLETON AVE",
            "address_2": "SUITE G",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163367",
            "telephone_number": "267-307-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "JOUKOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-307-9236",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD435017",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD435017",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08508800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102431691 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiac Care Center LLC
• Kristin Cardiel Nunez
• Christian Cardillo, MD
• Gina Cardillo
• Serena Cardillo, MD
• Cardiology Consultants of Philadelphia, P.C.
• Cardiology Medical Associates PC
• Cardiology Technology Group Inc
• Cardiovascular Medical Associates, P C
• Dariela Cardo, O.D.

• Cardiovascular Disease Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.