Island Interventional Cardiology,P.C.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ISLAND INTERVENTIONAL CARDIOLOGY,P.C.

Practice address

100 Port Washington Blvd
Roslyn, NY 11576-1353

Phone

(516) 414-3041

Fax

(516) 365-2648

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asif Rehman, M.D.NPI 1992813190

Title

Director

Phone

(516) 414-3041

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Asif M Rehman, M.D.

  • Interventional Cardiology Physician
  • Concord, NH
  • NPI 1992813190

  NY

  Medicare reassignment Authorized official
• Leslie Anne Marie Lidonnici, M.D.

  • Surgical Critical Care Physician
  • Roslyn, NY
  • NPI 1548375314
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285745851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501031",
            "telephone_number": "516-629-2472",
            "fax_number": "516-629-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-414-3041",
            "fax_number": "516-365-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND INTERVENTIONAL CARDIOLOGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-414-3041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01771604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Brett Jassey, D.O.
• Vinod K. Jayam, M.D.

• Interventional Cardiology Physician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Interventional Cardiology Physician in New York

• 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.
• 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.