Organization Active NPI

Advanced Cardio Diagnostic PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1194900332
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
219418 Issued in NY
Legal business name
ADVANCED CARDIO DIAGNOSTIC PLLC
Practice address
1384 East 19TH St
Suite 1
Brooklyn, NY 11230
Phone
(718) 336-3033
Fax
(718) 336-3006
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Eugene Shteerman, MDNPI 1578580585
Title
Sole Owner of PLLC
Phone
(718) 336-3033

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 SINGLE SPECIALTY GROUP 207RC0000X 219418 NY Primary

Addresses

Primary practice location

1384 East 19TH St
Suite 1
Brooklyn, NY 11230

Mailing address

134 67TH Street
Brooklyn, NY 11220-4822
Phone (718) 336-3033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080402000023 NY Part B Supplier - Clinic/Group Practice 3870670821 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1384 E 19th St
Ste 1
Brooklyn, NY 11230
Phone (718) 336-3005

1384 E 19th St
#1
Brooklyn, NY 11230
Phone (718) 336-3033

Practitioners & affiliated clinicians

Practitioners 1

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1194900332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 67TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204822",
            "telephone_number": "718-336-3033",
            "fax_number": "718-336-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 EAST 19TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-336-3033",
            "fax_number": "718-336-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIO DIAGNOSTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "SHTEERMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "SOLE OWNER OF PLLC",
        "authorized_official_telephone_number": "718-336-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "219418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.