Active NPI
Raytel Cardiac Services, Inc.
- Radiology Clinic/Center
- Lake Success, NY
National Provider Identifier
1194776518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.