Organization Active NPI

Lawrence Cardiovascular Associates PC

  • Cardiovascular Disease Physician
  • Lawrence, NY
National Provider Identifier
1225195001
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
171383 Issued in NY
Legal business name
LAWRENCE CARDIOVASCULAR ASSOCIATES PC
Practice address
135 Rockaway Tpke Ste 103
Lawrence, NY 11559-1023
Phone
(516) 239-1616
Fax
(516) 239-1616
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Raul Mendoza, M.D.
Title
President
Phone
(516) 239-1616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 135196 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 171383 NY Primary

Addresses

Primary practice location

135 Rockaway Tpke Ste 103
Lawrence, NY 11559-1023

Mailing address

135 Rockaway Tpke Ste 103
Lawrence, NY 11559-1023
Phone (516) 239-1616

Other names 1

  • Hadpawat, Teigman, Mendoza, MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

135 Rockaway Tpke
Ste 103
Lawrence, NY 11559
Phone (516) 239-1616

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225195001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE STE 103",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591023",
            "telephone_number": "516-239-1616",
            "fax_number": "516-239-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE STE 103",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591023",
            "telephone_number": "516-239-1616",
            "fax_number": "516-239-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE CARDIOVASCULAR ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-239-1616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "135196",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "171383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hadpawat, Teigman, Mendoza, MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.