Active NPI
Phoenix Cardiovascular, Inc.
- Physiological Laboratory
- Garden City, NY
National Provider Identifier
1053388397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- PHOENIX CARDIOVASCULAR, INC.
- Practice address
- 585 Stewart Ave
LL16
Garden City, NY 11530-4783 - Phone
- (508) 880-3700
- NPI assigned
- Mar 7, 2006
- 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
- Cheryl A Ford
- Title
- Ceo
- Phone
- (508) 880-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
585 Stewart Ave
LL16
Garden City, NY 11530-4783
Mailing address
100 Myles Standish Blvd
Taunton, MA 02780-7321
Phone (508) 880-3700
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2440 M St NW
Washington, DC 20037
Phone (202) 223-3098
2500 Saint Raymonds Ave
#103
Bronx, NY 10461
Phone (718) 239-0036
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Scranton, PA
- NPI 1184612673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1053388397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MYLES STANDISH BLVD",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027807321",
"telephone_number": "508-880-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 STEWART AVE",
"address_2": "LL16",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304783",
"telephone_number": "508-880-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX CARDIOVASCULAR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-880-3700"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.