Active NPI
Heart and Lung Associates, PC
- Pulmonary Disease Physician
- Bayside, NY
National Provider Identifier
1053399006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- HEART AND LUNG ASSOCIATES, PC
- Practice address
- 42-23 Francis Lewis Blvd
Ste 105
Bayside, NY 11361 - Phone
- (718) 225-5106
- Fax
- (718) 225-0816
- NPI assigned
- Jan 9, 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
- Dr. Jack M Mann, MD
- Title
- Owner
- Phone
- (718) 225-5106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
42-23 Francis Lewis Blvd
Ste 105
Bayside, NY 11361
Mailing address
42-23 Francis Lewis Blvd
Ste 105
Bayside, NY 11361
Phone (718) 225-5106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1019751 | Heart and Lung Associates PC | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Bayside, NY
- NPI 1376542217
-
- Pulmonary Disease Physician
- New Hyde Park, NY
- NPI 1487654323
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1053307561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287187200000",
"number": "1053399006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42-23 FRANCIS LEWIS BLVD",
"address_2": "STE 105",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11361",
"telephone_number": "718-225-5106",
"fax_number": "718-225-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42-23 FRANCIS LEWIS BLVD",
"address_2": "STE 105",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11361",
"telephone_number": "718-225-5106",
"fax_number": "718-225-0816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART AND LUNG ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2010-10-16",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-225-5106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.