Organization Active NPI

Healthy Heart Cardiology, P.C.

  • Specialist
  • Great Neck, NY
National Provider Identifier
1124434618
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
144077-1 Issued in NY
Legal business name
HEALTHY HEART CARDIOLOGY, P.C.
Practice address
1000 Northern Blvd Ste 360
Great Neck, NY 11021-5312
Phone
(516) 829-6660
Fax
(516) 829-9641
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Katherine S Wright
Title
Office Manager
Phone
(516) 829-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 144077-1 NY Primary

Addresses

Primary practice location

1000 Northern Blvd Ste 360
Great Neck, NY 11021-5312

Mailing address

833 Northern Blvd
Suite 120
Great Neck, NY 11021-5315
Phone (516) 829-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021000062 NY Part B Supplier - Clinic/Group Practice 0547481350 Receives reassigned benefits from 5 practitioners
Practice locations: Great Neck, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0703772Healthy Heart Cardiology1000 Northern Boulevard, Suite 360, Great Neck, NY 11021Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1124434618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NORTHERN BLVD",
            "address_2": "SUITE 120",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215315",
            "telephone_number": "516-829-6660",
            "fax_number": "516-829-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD STE 360",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-829-6660",
            "fax_number": "516-829-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEART CARDIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-829-6660"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "144077-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.