Organization Active NPI

Five Towns Medicine, P.C.

Doing business as Five Towns Medicine and Cardiology

  • Cardiovascular Disease Physician
  • Cedarhurst, NY
National Provider Identifier
1275832552
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
256063 Issued in NY
Legal business name
FIVE TOWNS MEDICINE, P.C.
Doing business as
Five Towns Medicine and Cardiology
Practice address
123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240
Phone
(516) 374-6363
Fax
(516) 374-6300
NPI assigned
Mar 25, 2011
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Marc Jason Ostreicher, M.D.NPI 1831420967
Title
President
Phone
(516) 239-0639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 256063 NY Primary

Addresses

Primary practice location

123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240

Mailing address

123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240
Phone (516) 374-6363

Other names 1

  • Five Towns Medicine and Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000268 NY Part B Supplier - Clinic/Group Practice 8022295401 Receives reassigned benefits from 1 practitioner
Practice locations: Cedarhurst, NY

National Provider Directory

National Provider Directory
Tax ID family
Five Towns Medicine and Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1275832552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE",
            "address_2": "SUITE 202",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-374-6363",
            "fax_number": "516-374-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE",
            "address_2": "SUITE 202",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-374-6363",
            "fax_number": "516-374-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE TOWNS MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "OSTREICHER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-239-0639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "256063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Towns Medicine and Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.