Organization Active NPI

Associated Cardiology Consultant PC

  • Cardiovascular Disease Physician
  • South Richmond Hill, NY
National Provider Identifier
1215042213
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
192787 Issued in NY
Legal business name
ASSOCIATED CARDIOLOGY CONSULTANT PC
Practice address
10120 Lefferts Blvd
South Richmond Hill, NY 11419-2006
Phone
(718) 850-0707
Fax
(718) 850-9405
NPI assigned
Aug 20, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Shaik Ali, MDNPI 1063446631
Title
MD
Phone
(718) 850-0707

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: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 192787 NY Primary

Addresses

Primary practice location

10120 Lefferts Blvd
South Richmond Hill, NY 11419-2006

Mailing address

37 Clifton St
Farmingdale, NY 11735-5500
Phone (631) 777-3155

Other identifiers 1

IdentifierTypeStateIssuer
01720061MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070127000059 NY Part B Supplier - Clinic/Group Practice 3274422688 Receives reassigned benefits from 2 practitioners
Practice locations: East Meadow, NY; Uniondale, NY; South Richmond Hill, NY; New York, NY; Hicksville, NY; Glen Oaks, NY; Farmingdale, NY

National Provider Directory

National Provider Directory

Locations

1905 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 222-6400

183 Broadway
Ste 218
Hicksville, NY 11801
Phone (516) 932-0906

3403 Broadway
New York, NY 10031
Phone (718) 850-0707

2000 N Village Ave
Ste 303
Rockville Ctr, NY 11570
Phone (516) 678-1444

10120 Lefferts Blvd
South Richmond Hl, NY 11419
Phone (347) 666-1144

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1215042213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLIFTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355500",
            "telephone_number": "631-777-3155",
            "fax_number": "631-777-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 LEFFERTS BLVD",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192006",
            "telephone_number": "718-850-0707",
            "fax_number": "718-850-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CARDIOLOGY CONSULTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAIK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-850-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "192787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01720061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.