NPIMap

Organization Active NPI

Throgs Neck Cardiology PC

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1154863876
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THROGS NECK CARDIOLOGY PC
Practice address
3594 E Tremont Ave
Ste 100
Bronx, NY 10465-2032
Phone
(718) 534-0689
NPI assigned
Nov 11, 2016
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Elena Lorranine VezzaNPI 1033161021
Title
Owner
Phone
(718) 964-6161

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 MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3594 E Tremont Ave
Ste 100
Bronx, NY 10465-2032

Mailing address

3594 E Tremont Ave
Ste 100
Bronx, NY 10465-2032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001318 NY Part B Supplier - Clinic/Group Practice 6800177338 Receives reassigned benefits from 13 practitioners
Practice locations: Woodmere, NY

National Provider Directory

National Provider Directory

Locations

3594 E Tremont Ave
Ste 100
Bronx, NY 10465
Phone (718) 239-7176

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1154863876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 E TREMONT AVE",
            "address_2": "STE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 E TREMONT AVE",
            "address_2": "STE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "718-534-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THROGS NECK CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "VEZZA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "LORRANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-964-6161"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.