Cardiology for Life PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGY FOR LIFE PC

Practice address

25 S Main St
Spring Valley, NY 10977-4917

Phone

(646) 399-0201

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Richard R Peralta Hernandez, MDNPI 1154690972

Title

Cardiologist

Phone

(646) 399-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Richard Peralta Hernandez, MD

  • Cardiovascular Disease Physician
  • Spring Valley, NY
  • NPI 1154690972
  Medicare reassignment NPD Authorized official
• Emilio Ivan Perez, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1912149915
  NPD
• Madeline Cruz, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Garnerville, NY
  • NPI 1043390131
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1124589338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST STE C",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774917",
            "telephone_number": "845-694-3810",
            "fax_number": "845-694-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774917",
            "telephone_number": "646-399-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Broadway Fl 1",
            "address_purpose": "LOCATION",
            "city": "Haverstraw",
            "state": "NY",
            "postal_code": "109271145",
            "country_code": "US",
            "telephone_number": "845-694-3810",
            "fax_number": "845-694-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOLOGY FOR LIFE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PERALTA HERNANDEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "646-399-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE #",
            "identifier": "667569375",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.richardperalta@hotmail.com",
            "affiliation": "N",
            "address_1": "25 S Main St Ste C",
            "city": "Spring Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109774917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Agatha Campbell, RN
• Shaion Campbell
• Edgardo Canuelas
• Jacqueline Elizabeth Carballo, R.N.
• Regina Carbone, R.N.
• Care & Alert Systems LLC
• Care100 Inc
• Caresing Inc
• Careway Transport LLC
• Carole Marly Surin

• Cardiovascular Disease Physician in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.