Bethesda Cardiac Care

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BETHESDA CARDIAC CARE

Practice address

99 Hillside Ave
Suite D
Williston Park, NY 11596-2333

Phone

(516) 739-2930

Fax

(516) 739-4870

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Poulose, MDNPI 1104905058

Title

MD

Phone

(516) 739-2930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose M Poulose, M.D

  • Cardiovascular Disease Physician
  • Williston Park, NY
  • NPI 1104905058
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073673679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE",
            "address_2": "SUITE D",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962333",
            "telephone_number": "516-739-2930",
            "fax_number": "516-739-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE",
            "address_2": "SUITE D",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962333",
            "telephone_number": "516-739-2930",
            "fax_number": "516-739-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CARDIAC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POULOSE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-739-2930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Patrick Beck, PH.D.
• Sarah Beltran
• Anat Benjamin, M.D.
• Binu Benjamin, BPHARM
• Carmela Granata Bernacchio, SLP-CCC
• Shriya Bhasin
• Bi County Physical Therapy and Rehabilitation LLP
• Rosemarie Bikales, LMSW
• Steven R Birnbaum, PH. D.
• Leslie M. Bitman, MD

• Specialist in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.