NPIMap

Organization Active NPI

Heartpath Cardiovascular Services, PLLC

  • Cardiovascular Disease Physician
  • Farmingdale, NY
National Provider Identifier
1295972131
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
187894 Issued in NY
Legal business name
HEARTPATH CARDIOVASCULAR SERVICES, PLLC
Practice address
206 Fallwood Pkwy
Farmingdale, NY 11735-4929
Phone
(516) 249-1020
Fax
(516) 249-1305
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Salvatore Trazzera, M.D.
Title
Medical Director
Phone
(516) 249-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 187894 NY Primary

Addresses

Primary practice location

206 Fallwood Pkwy
Farmingdale, NY 11735-4929

Mailing address

206 Fallwood Pkwy
Farmingdale, NY 11735-4929
Phone (516) 249-1020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1295972131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FALLWOOD PKWY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354929",
            "telephone_number": "516-249-1020",
            "fax_number": "516-249-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FALLWOOD PKWY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354929",
            "telephone_number": "516-249-1020",
            "fax_number": "516-249-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTPATH CARDIOVASCULAR SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "TRAZZERA",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-249-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "187894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.