Organization Active NPI

Lenox Hill Interventional Cardiac & Vascular Services PC

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1265452015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES PC
Practice address
130 E 77TH St
9TH Floor
New York, NY 10021-1851
Phone
(212) 434-2606
Fax
(212) 434-3139
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Marti
Title
Credentialing
Phone
(212) 434-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

130 E 77TH St
9TH Floor
New York, NY 10021-1851

Mailing address

130 E 77TH St
9TH Floor
New York, NY 10021-1851
Phone (212) 434-2606

Other identifiers 1

IdentifierTypeStateIssuer
02599053MedicaidNY

National Provider Directory

National Provider Directory

Locations

3117 Buhre Ave
Bronx, NY 10461
Phone (718) 764-5000

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

130 E 77th St
Fl 9
New York, NY 10075
Phone (212) 434-2606

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265452015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-434-2606",
            "fax_number": "212-434-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-434-2606",
            "fax_number": "212-434-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "212-434-6916"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02599053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.