Individual provider Active NPI

Vasundhara Vidyarthi

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1114144235
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
257109 Issued in NY
Practice address
22 Pine Dr
Great Neck, NY 11021-2838
Phone
(847) 840-5158
Fax
(516) 365-0729
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 257109 NY Primary

Addresses

Primary practice location

22 Pine Dr
Great Neck, NY 11021-2838

Mailing address

22 Pine Dr
Great Neck, NY 11021-2838
Phone (847) 840-5158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000501 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880614643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Pine Dr
Great Neck, NY 11021-2838
Phone (516) 365-2046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257109NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care of New York, PC Cardiovascular Disease CurrentSince Jul 8, 2009 Accepting new patients
Cardiology Associates of Ocean County Cardiovascular Disease PastSince Jul 12, 2010 Accepting new patients
Fulton Medical Plaza, P.C. Past Accepting new patients
Infectious Diseases Professionals LLC PastSince Apr 1, 2017 Accepting new patients

Locations

27005 76th Ave
North New Hyde Pk, NY 11040

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vasu.vidyarthi@heartca.ehi.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1114144235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212838",
            "telephone_number": "847-840-5158",
            "fax_number": "516-365-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212838",
            "telephone_number": "847-840-5158",
            "fax_number": "516-365-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDYARTHI",
        "first_name": "VASUNDHARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "257109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.