NPIMap

Organization Active NPI

Cardiac & Veinworx LLC

  • Cardiovascular Disease Physician
  • Hollywood, FL
National Provider Identifier
1134516974
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC & VEINWORX LLC
Practice address
3702 Washington St
Suite 305
Hollywood, FL 33021-8282
Phone
(954) 983-8910
Fax
(954) 985-5781
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Yale Cohen, MDNPI 1740221845
Title
Manager
Phone
(954) 983-8910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3702 Washington St
Suite 305
Hollywood, FL 33021-8282

Mailing address

8362 Pines Blvd # 296
Pembroke Pines, FL 33024-6600
Phone (954) 983-8910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109002140 FL Part B Supplier - Clinic/Group Practice 7214247907 Receives reassigned benefits from 8 practitioners
Practice locations: Hollywood, FL; Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

3702 Washington St
Ste 305
Hollywood, FL 33021
Phone (954) 967-6110

1865 N Corporate Lakes Blvd
Weston, FL 33326
Phone (954) 265-6984

2229 N Commerce Pkwy
Ste F
Weston, FL 33326
Phone (954) 385-3367

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIJAD

Practitioners & affiliated clinicians

Practitioners 8

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": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1134516974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 PINES BLVD # 296",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246600",
            "telephone_number": "954-983-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "SUITE 305",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "954-983-8910",
            "fax_number": "954-985-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC & VEINWORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "YALE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-983-8910",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.