Active NPI
Luis Mario Astudillo, MD
- Cardiovascular Disease Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 243249
- Practice address
- 3131 Grand Concourse
Suite 1B
Bronx, NY 10468-1442 - Phone
- (718) 295-7900
- Fax
- (718) 295-4160
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 243249 | NY | Primary |
Addresses
Primary practice location
3131 Grand Concourse
Suite 1B
Bronx, NY 10468-1442
Mailing address
PO Box 837
Hartsdale, NY 10530-0837
Phone (718) 562-6570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350518195A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045
7600 River Rd
North Bergen, NJ 07047-6217
Phone 2017701103110
Hospital & facility affiliations
- Palisades Medical Center
- Hackensack University Medical Center
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Humc Cardiovascular Partners, PC | Cardiovascular Disease | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Cardiology Unlimited PC | Cardiovascular Disease | Past | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients | |
| North Shore-Lij Medical PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
103 River Rd
Edgewater, NJ 07020
Phone (201) 941-8100
200 Grand Ave
Ste 202
Englewood, NJ 07631
Phone (201) 541-1220
301 Bridge Plz N
Ste 3
Fort Lee, NJ 07024
Phone (848) 308-4690
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
7650 River Rd
Ste 300
North Bergen, NJ 07047
Phone (201) 224-8831
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDIHAA
- https://fhir4.healow.com/fhir/r4/IHJHBD
- luis.astudillo@direct.hackensackmeridian.org
Organizations & group practices 7
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Cardiovascular Disease Physician
- North Bergen, NJ
- NPI 1669431581
-
- Cardiovascular Disease Physician
- Teaneck, NJ
- NPI 1417188905
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Cardiovascular Disease Physician
- Bronx, NY
- NPI 1174726855
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1114974623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 837",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105300837",
"telephone_number": "718-562-6570",
"fax_number": "718-346-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 GRAND CONCOURSE",
"address_2": "SUITE 1B",
"city": "BRONX",
"state": "NY",
"postal_code": "104681442",
"telephone_number": "718-295-7900",
"fax_number": "718-295-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTUDILLO",
"first_name": "LUIS",
"middle_name": "MARIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "243249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350518195A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Astor Home for Children
- Astor Servicers for Children and Families
- Astor Services for Children and Families
- Astor Services for Children and Families - Highbridge Opc
- Chelsea Nicole Astudillo, M.S., CCC-SLP
- Angela Marie Astuto
- Ruth Asubonteng
- Akua Asumadu, LPN
- Samuel Asumadu, LMSW, CASAC, ICADC
- Maria Renemi Asuncion, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.