Organization Active NPI

Phoenix Cardiovascular, Inc.

  • Physiological Laboratory
  • Garden City, NY
National Provider Identifier
1053388397
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Apr 29, 2008

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)CodeLicenseStatePrimary
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 Directory

Member 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.

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.

Verify at the official NPI Registry.