Individual provider Active NPI

Andrew Vantosh, MD

  • Cardiovascular Disease Physician
  • Roslyn, NY
National Provider Identifier
1255317400
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
142209 Issued in NY
Practice address
100 Port Washington Blvd
Director, Nuclear Cardiology
Roslyn, NY 11576-1353
Phone
(516) 562-6535
Fax
(516) 562-6534
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 142209 NY Primary
Nuclear Cardiology Physician 207UN0901X 142209 NY

Addresses

Primary practice location

100 Port Washington Blvd
Director, Nuclear Cardiology
Roslyn, NY 11576-1353

Mailing address

PO Box 1056
Port Washington, NY 11050-1056
Phone (516) 629-2470

Other identifiers 1

IdentifierTypeStateIssuer
00978730MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Steve C. Tam MD, PLLC Cardiovascular Disease Past Accepting new patients
Nrad Medical Associates, PC Past Accepting new patients
Manhattan Cardiac Pet Imaging PLLC Cardiovascular Disease PastSince Mar 21, 2006 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Past Accepting new patients
Bethpage Medical, PLLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1255317400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501056",
            "telephone_number": "516-629-2470",
            "fax_number": "516-629-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "DIRECTOR, NUCLEAR CARDIOLOGY",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-562-6535",
            "fax_number": "516-562-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTOSH",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "142209",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "142209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.