Grand Cornell Cardiology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

173277 Issued in NY

Legal business name

GRAND CORNELL CARDIOLOGY PC

Practice address

217 Grand St FL 9
New York, NY 10013-4223

Phone

(212) 233-8813

Fax

(212) 267-3303

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth C. Tam, M.D., F.A.C.CNPI 1467482703

Title

President

Phone

(212) 233-8813

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Kenneth C Tam, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1467482703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1043483274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GRAND ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134223",
            "telephone_number": "212-233-8813",
            "fax_number": "212-267-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134223",
            "telephone_number": "212-233-8813",
            "fax_number": "212-267-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CORNELL CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-233-8813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "173277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03109868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Central Optical Co Inc
• Grand Central Physical Medicine&Rehabilitation PC
• Grand Central Physical Therapy
• Grand Central Podiatric Care and Surgery
• Grand Central Psychology PLLC
• Grand Fashion Optical, Inc
• Grand Health Pharmacy Inc
• Grand Medical Group PC
• Grand Meridian, Inc.
• Grand Optical

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.