NPIMap

Organization Active NPI

Gramercy Cardiac Diagnostic SVCS, P.C.

  • Nuclear Cardiology Physician
  • Bronx, NY
National Provider Identifier
1194059808
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
60-144475 Issued in NY
Legal business name
GRAMERCY CARDIAC DIAGNOSTIC SVCS, P.C.
Practice address
4647 White Plains Rd
Bronx, NY 10470-1612
Phone
(212) 475-8066
Fax
(212) 475-4175
NPI assigned
Sep 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Brian Labarbera
Title
Adminstrator
Phone
(212) 475-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X 60-144475 NY Primary

Addresses

Primary practice location

4647 White Plains Rd
Bronx, NY 10470-1612

Mailing address

PO Box 9467
Uniondale, NY 11555-9467
Phone (212) 475-8066

National Provider Directory

National Provider Directory
Tax ID family
Gramercy Cardiac Diagnostic SVCS PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4647 White Plains Rd
Bronx, NY 10470
Phone (718) 515-9664

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": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1194059808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9467",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559467",
            "telephone_number": "212-475-8066",
            "fax_number": "212-475-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701612",
            "telephone_number": "212-475-8066",
            "fax_number": "212-475-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY CARDIAC DIAGNOSTIC SVCS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "LABARBERA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "212-475-8066"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "60-144475",
            "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 28, 2009; 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.