Long Island Cardiovascular Medical Assoicates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LONG ISLAND CARDIOVASCULAR MEDICAL ASSOICATES, PC

Practice address

1630 Deer Park Ave
Deer Park, NY 11729-5210

Phone

(631) 242-6166

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Jerry A. Sokol, MD

Title

President

Phone

(631) 242-6166

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Abraham T. Schneider, MD

  • Cardiovascular Disease Physician
  • Deer Park, NY
  • NPI 1548284664
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1356440929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295210",
            "telephone_number": "631-242-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295210",
            "telephone_number": "631-242-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CARDIOVASCULAR MEDICAL ASSOICATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "SOKOL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-242-6166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01813547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhoda Lin
• Charles Lipenholtz, D.D.S.
• Yolette Lissade, ED.D.
• Karen Wendy Liu, CCC/SLP
• Stephenie Lloyd
• Long Island Queens Hearing Asso Inc
• Marc Lawrence Lu, PT
• Erica Lucks, LMSW
• Luxottica of America Inc
• Luxottica Retail North America Inc

• Cardiovascular Disease Physician in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.