Individual provider Active NPI

Bruce M Decter, MD

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1114905437
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
179558 Issued in NY
Practice address
3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214
Phone
(516) 327-0001
Fax
(516) 326-9753
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 179558 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214

Mailing address

3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214
Phone (516) 327-0001

Other identifiers 1

IdentifierTypeStateIssuer
01482186MedicaidNY

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
I20050428000087 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759320831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Consultants of LiGroup PAC ID 6709776941, 5 clinicians

Practice addresses (Care Compare)

3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214
Phone (516) 327-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants of Li Cardiovascular Disease CurrentSince Jan 1, 1994 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease PastSince Jan 1, 1994 Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Cardiovascular Disease Past Accepting new patients

Locations

3003 New Hyde Park Rd
Ste 411
New Hyde Park, NY 11042
Phone (516) 327-0001

27005 76th Ave
North New Hyde Pk, NY 11040

3003 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 327-0001

100 Port Washington Blvd
Ste 105
Roslyn, NY 11576
Phone (516) 390-9640

Networks

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

Interoperability endpoints

  • Direct secure messaging: bruce.dectermd.p1@direct.ccli.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1114905437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 411",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-327-0001",
            "fax_number": "516-326-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 411",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-327-0001",
            "fax_number": "516-326-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECTER",
        "first_name": "BRUCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "179558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01482186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.