Individual provider Active NPI

Luiza F Petre, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1053465971
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
230304 Issued in NY
Practice address
115 E 57TH St Ste 1450
New York, NY 10022-2109
Phone
(212) 203-6957
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 230304 NY Primary

Addresses

Primary practice location

115 E 57TH St Ste 1450
New York, NY 10022-2109

Mailing address

115 E 57TH St Ste 1450
New York, NY 10022-2109
Phone (212) 203-6957

Other identifiers 1

IdentifierTypeStateIssuer
02870597MedicaidNY

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
I20070823000305 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254423148 Reassigns benefits to 3 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E 57TH St
Suite 1450
New York, NY 10022-2109
Phone (212) 203-6957

12 John St
Middletown, NY 10940-4900
Phone (516) 413-2037

1214 5TH Ave
Apt 38E
New York, NY 10029-5257
Phone (516) 413-2037

126 Old Castle Point Rd
Wappingers Falls, NY 12590-7047
Phone (516) 413-2037

1509 Central Ave
Far Rockaway, NY 11691-4001
Phone (516) 413-2037

1629 Route 376
Wappingers Falls, NY 12590-6140
Phone (516) 413-2037

186 Washington St
Poughkeepsie, NY 12601-1357
Phone (516) 413-2037

2247 Greenville Tpke
Port Jervis, NY 12771-3216
Phone (516) 413-2037

3200 Bronx Blvd
Bronx, NY 10467-6305
Phone (516) 413-2037

3441 Lexington Ave
Mohegan Lake, NY 10547-1278
Phone (516) 413-2037

431 Beach 20TH St
Far Rockaway, NY 11691-3621
Phone (631) 271-9151

44 W 74TH St
New York, NY 10023-2451
Phone (212) 203-6957

44 W 74TH St
Suie 3F
New York, NY 10023-2463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Medical Services CurrentSince Dec 1, 2024 Accepting new patients
Expert Medical Diagnostics, PLLC CurrentSince Jun 1, 2011 Accepting new patients
The Parkway Hospital Past Accepting new patients
Michael Poon, MD, PLLC Cardiovascular Disease PastSince Sep 1, 2005 Accepting new patients
Clinical Medical Consulting Past Accepting new patients

Locations

1188 Willis Ave
Albertson, NY 11507
Phone (347) 236-9971

2209 Merrick Rd
Ste 100
Merrick, NY 11566
Phone (516) 371-5800

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

115 E 57th St
Ste 1450
New York, NY 10022
Phone (212) 203-6957

955 Yonkers Ave
Yonkers, NY 10704
Phone (914) 237-5592

1019 Yonkers Ave
Ste 2
Yonkers, NY 10704
Phone (917) 423-0433

472 Palmer Rd
Yonkers, NY 10701
Phone (914) 375-2300

Organizations & group practices 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1053465971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222109",
            "telephone_number": "212-203-6957",
            "fax_number": "212-203-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222109",
            "telephone_number": "212-203-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRE",
        "first_name": "LUIZA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "230304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02870597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.