Organization Active NPI

Northeast Cardiology Consultants, Inc.

  • Cardiovascular Disease Physician
  • Phila, PA
National Provider Identifier
1205900420
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTHEAST CARDIOLOGY CONSULTANTS, INC.
Practice address
2701 Holme Ave
Suite 105
Phila, PA 19152-2029
Phone
(215) 335-4944
Fax
(215) 331-3619
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Richard Vassallo, MDNPI 1285708404
Title
Chairman
Phone
(215) 335-4944

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 Primary

Addresses

Primary practice location

2701 Holme Ave
Suite 105
Phila, PA 19152-2029

Mailing address

2701 Holme Ave
Suite 105
Phila, PA 19152-2029
Phone (215) 335-4944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000443 PA Part B Supplier - Clinic/Group Practice 2466436811 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1205900420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE",
            "address_2": "SUITE 105",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-335-4944",
            "fax_number": "215-331-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOLME AVE",
            "address_2": "SUITE 105",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191522029",
            "telephone_number": "215-335-4944",
            "fax_number": "215-331-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CARDIOLOGY CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "VASSALLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "215-335-4944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.