Organization Active NPI

Sebastian Cardiolgy PA

  • Specialist
  • Sebastian, FL
National Provider Identifier
1235202987
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
89938 Issued in FL
Legal business name
SEBASTIAN CARDIOLGY PA
Practice address
8005 Bay St
Suite 4
Sebastian, FL 32958-3244
Phone
(772) 589-9998
Fax
(772) 589-9889
NPI assigned
Nov 17, 2006
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Aldino G Cellini, M.D.
Title
Physician
Phone
(772) 589-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 89938 FL Primary

Addresses

Primary practice location

8005 Bay St
Suite 4
Sebastian, FL 32958-3244

Mailing address

PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330

Other identifiers 2

IdentifierTypeStateIssuer
37958ZOtherFLMEDICARE PTAN
269434400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1235202987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 BAY ST",
            "address_2": "SUITE 4",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583244",
            "telephone_number": "772-589-9998",
            "fax_number": "772-589-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN CARDIOLGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "CELLINI",
        "authorized_official_first_name": "ALDINO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-589-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "89938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "37958Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269434400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.