Individual provider Active NPI

Pompeiu Vlad Vladutiu, MD

  • Cardiovascular Disease Physician
  • Woodside, NY
National Provider Identifier
1053398685
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
237659 Issued in NY
Practice address
3120 54TH St
Woodside, NY 11377-1530
Phone
(516) 320-0444
Fax
(516) 365-9002
NPI assigned
Dec 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237659 NY
Cardiovascular Disease Physician 207RC0000X 237659 NY Primary

Addresses

Primary practice location

3120 54TH St
Woodside, NY 11377-1530

Mailing address

141 Crabapple Rd
Manhasset, NY 11030-1700
Phone (516) 365-9626

Other identifiers 1

IdentifierTypeStateIssuer
02687070MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051210000085 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5395766976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Crabapple Rd
Manhasset, NY 11030-1700

3120 54TH St
Woodside, NY 11377-1530
Phone (516) 320-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237659NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Manhattan Cardiology, PC Cardiovascular Disease CurrentSince Jul 26, 2007 Accepting new patients

Locations

201 E 21st St
Apt 1H
New York, NY 10010
Phone (212) 353-8552

315 W 50th St
New York, NY 10019
Phone (212) 333-7661

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAEGAA/Endpoint/DAEGAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1053398685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CRABAPPLE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301700",
            "telephone_number": "516-365-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 54TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771530",
            "telephone_number": "516-320-0444",
            "fax_number": "516-365-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLADUTIU",
        "first_name": "POMPEIU",
        "middle_name": "VLAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-24",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237659",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "237659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02687070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.