NPIMap

Organization Active NPI

New York Cardiology Group, P.C.

  • Specialist
  • Roslyn, NY
National Provider Identifier
1093803892
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW YORK CARDIOLOGY GROUP, P.C.
Practice address
1405 Old Northern Blvd
First Floor
Roslyn, NY 11576-2252
Phone
(516) 484-6777
Fax
(516) 484-0037
NPI assigned
Oct 10, 2006
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. George A. Petrossian, M.D.NPI 1821093444
Title
President
Phone
(516) 484-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

1405 Old Northern Blvd
First Floor
Roslyn, NY 11576-2252

Mailing address

1405 Old Northern Blvd
First Floor
Roslyn, NY 11576-2252
Phone (516) 484-6777

National Provider Directory

National Provider Directory

Locations

1405 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 484-6777

1405 Old Northern Blvd
Fl 1
Roslyn, NY 11576
Phone (516) 484-6777

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1093803892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 OLD NORTHERN BLVD",
            "address_2": "FIRST FLOOR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762252",
            "telephone_number": "516-484-6777",
            "fax_number": "516-484-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 OLD NORTHERN BLVD",
            "address_2": "FIRST FLOOR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762252",
            "telephone_number": "516-484-6777",
            "fax_number": "516-484-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CARDIOLOGY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "PETROSSIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-484-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.