Organization Active NPI

East Side Cardiology PLLC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1114054558
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
210657 Issued in NY
Legal business name
EAST SIDE CARDIOLOGY PLLC
Practice address
370 E 76TH St
Suite C101
New York, NY 10021-2547
Phone
(212) 535-0106
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Joshua A. Donis, MD
Title
Manager
Phone
(212) 531-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 210657 NY Primary

Addresses

Primary practice location

370 E 76TH St
Suite C101
New York, NY 10021-2547

Mailing address

370 E 76TH St
Suite C101
New York, NY 10021-2547
Phone (212) 535-0106

Other identifiers 10

IdentifierTypeStateIssuer
210657OtherNYHIP
6C5506OtherNYACS HEALTHNET
3232573OtherNYAETNA HMO
7317425OtherNYAETNA
02379091OtherNYMEDICAID
2291730 08OtherNYUNITED HEALTHCARE
90353OtherNYCIGNA
504P42OtherNYEMPRE BCBS OF NY
P2804094OtherNYOXFORD
0157027OtherNYGHI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10563/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1114054558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 76TH ST",
            "address_2": "SUITE C101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212547",
            "telephone_number": "212-535-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 76TH ST",
            "address_2": "SUITE C101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212547",
            "telephone_number": "212-535-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DONIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-531-0399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "210657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "210657",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTHNET",
            "identifier": "6C5506",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3232573",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7317425",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "02379091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2291730 08",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "90353",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPRE BCBS OF NY",
            "identifier": "504P42",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2804094",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0157027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.