Organization Active NPI

Diagnostic Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1144324328
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DIAGNOSTIC CARDIOLOGY ASSOCIATES PC
Practice address
100 Clinton Street
Suite 20
Brooklyn, NY 11201-4227
Phone
(718) 625-8700
Fax
(718) 625-7563
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Sudarsanam Konka, MD
Title
Partner
Phone
(718) 625-8700

Specialties & licenses 1

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

Addresses

Primary practice location

100 Clinton Street
Suite 20
Brooklyn, NY 11201-4227

Mailing address

100 Clinton St
Suite 20
Brooklyn, NY 11201-4227
Phone (718) 625-8700

Other identifiers 1

IdentifierTypeStateIssuer
01580721MedicaidNY

National Provider Directory

National Provider Directory

Locations

100 Clinton St
Ste 20
Brooklyn, NY 11201
Phone (718) 625-8700

Practitioners & affiliated clinicians

Practitioners 2

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1144324328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLINTON ST",
            "address_2": "SUITE 20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014227",
            "telephone_number": "718-625-8700",
            "fax_number": "718-625-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLINTON STREET",
            "address_2": "SUITE 20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014227",
            "telephone_number": "718-625-8700",
            "fax_number": "718-625-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC CARDIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "KONKA",
        "authorized_official_first_name": "SUDARSANAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-625-8700",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01580721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.