Active NPI
East Side Cardiology PLLC
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1114054558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 210657
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210657 | Other | NY | HIP |
| 6C5506 | Other | NY | ACS HEALTHNET |
| 3232573 | Other | NY | AETNA HMO |
| 7317425 | Other | NY | AETNA |
| 02379091 | Other | NY | MEDICAID |
| 2291730 08 | Other | NY | UNITED HEALTHCARE |
| 90353 | Other | NY | CIGNA |
| 504P42 | Other | NY | EMPRE BCBS OF NY |
| P2804094 | Other | NY | OXFORD |
| 0157027 | Other | NY | GHI |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.