Active NPI
Lawrence Cardiovascular Associates PC
- Cardiovascular Disease Physician
- Lawrence, NY
National Provider Identifier
1225195001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 171383
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 135196 | NY | |
| Cardiovascular Disease Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.