Completecare Cardiology PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COMPLETECARE CARDIOLOGY PLLC

Practice address

2001 Marcus Ave
Suite W285
Lake Success, NY 11042

Phone

(516) 775-0055

Fax

(516) 775-4647

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randy Paul Kiewe, M.D.

Title

President/ Ceo

Phone

(516) 775-0055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1164530309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE W285",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-775-0055",
            "fax_number": "516-775-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE W285",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-775-0055",
            "fax_number": "516-775-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETECARE CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "KIEWE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "516-775-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "349AX",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PO Chun Chu, RPH
• Sheri L Coatney, OD
• Anthony S Cohen, M.D.
• Arthur Cohen, M.D.
• Kenneth H Cohen, M.D.
• Alida Cooman, COTA
• Clifford Cooper, MD
• David J Cooper, MD
• Stanley Cooper, MD
• Ronald D D'Agostino, D.O.

• Cardiovascular Disease Physician in Lake Success, NY
• Providers in Lake Success, 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 Feb 21, 2013; 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.