Active NPI
Elmhurst Ave Medical Diagnostic, P.C.
- Cardiovascular Disease Physician
- Jackson Heights, NY
National Provider Identifier
1255508495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ELMHURST AVE MEDICAL DIAGNOSTIC, P.C.
- Practice address
- 9018 Elmhurst Ave
2ND Floor
Jackson Heights, NY 11372-7936 - Phone
- (718) 779-1992
- Fax
- (718) 779-1994
- NPI assigned
- May 15, 2008
- 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
- Mr. Ralph Lanoue
- Title
- Executive Director
- Phone
- (718) 779-1992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
9018 Elmhurst Ave
2ND Floor
Jackson Heights, NY 11372-7936
Mailing address
9018 Elmhurst Ave
2ND Floor
Jackson Heights, NY 11372-7936
Phone (718) 779-1992
National Provider Directory
National Provider DirectoryLocations
9018 Elmhurst Ave
#2
Jackson Heights, NY 11372
Phone (718) 396-4434
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1982661385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1255508495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9018 ELMHURST AVE",
"address_2": "2ND FLOOR",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727936",
"telephone_number": "718-779-1992",
"fax_number": "718-779-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9018 ELMHURST AVE",
"address_2": "2ND FLOOR",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727936",
"telephone_number": "718-779-1992",
"fax_number": "718-779-1994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMHURST AVE MEDICAL DIAGNOSTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "LANOUE",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-779-1992",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.