Integrated Cardiovascular Imaging PLLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

172083 Issued in NY

Legal business name

INTEGRATED CARDIOVASCULAR IMAGING PLLC

Practice address

5 E 59TH St
6TH Floor
New York, NY 10022-1027

Phone

(212) 755-3023

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By 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

Alain Albert Fedida, MD

Title

Medical Director

Phone

(212) 755-3023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1083874911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 60TH ST",
            "address_2": "#31-H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 59TH ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221027",
            "telephone_number": "212-755-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARDIOVASCULAR IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FEDIDA",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-755-3023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NY",
            "license": "172083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in New York, NY
• Providers in New York, NY by specialty
• Physiological Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.