Organization Active NPI

Raytel Cardiac Services, Inc.

  • Radiology Clinic/Center
  • Lake Success, NY
National Provider Identifier
1194776518
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RAYTEL CARDIAC SERVICES, INC.
Practice address
1979 Marcus Avenue
Suite C101
Lake Success, NY 11042
Phone
(800) 367-0300
Fax
(877) 639-9587
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Robert E Sass Jr.
Title
General Manager
Phone
(860) 298-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1979 Marcus Avenue
Suite C101
Lake Success, NY 11042

Mailing address

PO Box 727
Windsor, CT 06095-0727
Phone (800) 367-1095

National Provider Directory

National Provider Directory

Locations

7 Waterside Xing
Windsor, CT 06095

235 Bear Hill Rd
Ste 200
Waltham, MA 02451
Phone (781) 622-1653

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1194776518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950727",
            "telephone_number": "800-367-1095",
            "fax_number": "860-602-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVENUE",
            "address_2": "SUITE C101",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "800-367-0300",
            "fax_number": "877-639-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYTEL CARDIAC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SASS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "860-298-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.