Active NPI
Ronco Cardiology, P.C.
- Clinical Medical Laboratory
- Ronkonkoma, NY
National Provider Identifier
1063643245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.