NPIMap

Organization Active NPI

Heart Center PLLC

  • Cardiovascular Disease Physician
  • Stamford, CT
National Provider Identifier
1144738832
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART CENTER PLLC
Practice address
215 Stillwater Ave.
Unit B
Stamford, CT 06902-4807
Phone
(203) 674-1810
Fax
(203) 674-1805
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Jeffrey A. Green, MDNPI 1366415804
Title
Authorized Official
Phone
(203) 674-1810

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X CT Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X CT

Addresses

Primary practice location

215 Stillwater Ave.
Unit B
Stamford, CT 06902-4807

Mailing address

215 Stillwater Ave.
Unit B
Stamford, CT 06902-4807
Phone (203) 674-1810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180302000083 CT Part B Supplier - Clinic/Group Practice 9830450162 Receives reassigned benefits from 3 practitioners
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

40 Heights Rd
Ste 200
Darien, CT 06820
Phone (203) 655-6799

215 Stillwater Ave
Ste B
Stamford, CT 06902
Phone (203) 674-1810

Practitioners & affiliated clinicians

Practitioners 4

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": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1144738832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STILLWATER AVE.",
            "address_2": "UNIT B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024807",
            "telephone_number": "203-674-1810",
            "fax_number": "203-674-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STILLWATER AVE.",
            "address_2": "UNIT B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024807",
            "telephone_number": "203-674-1810",
            "fax_number": "203-674-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-674-1810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.