Organization Active NPI

Ronco Cardiology, P.C.

  • Clinical Medical Laboratory
  • Ronkonkoma, NY
National Provider Identifier
1063643245
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RONCO CARDIOLOGY, P.C.
Practice address
201 Portion Rd
Suite B
Ronkonkoma, NY 11779-4172
Phone
(631) 588-3420
Fax
(631) 588-3197
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Mr. Rajeev Dayal Srivastava, M, D.
Title
Medical Director
Phone
(631) 588-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

201 Portion Rd
Suite B
Ronkonkoma, NY 11779-4172

Mailing address

201 Portion Rd
Suite B
Ronkonkoma, NY 11779-4172
Phone (631) 588-3420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1063643245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "631-588-3420",
            "fax_number": "631-588-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "631-588-3420",
            "fax_number": "631-588-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONCO CARDIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_middle_name": "DAYAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-588-3420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M, D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.