Active NPI
Island Electrocardiographic Services, PC
- Cardiovascular Disease Physician
- Staten Island, NY
National Provider Identifier
1376513093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ISLAND ELECTROCARDIOGRAPHIC SERVICES, PC
- Practice address
- 375 Seguine Ave
Staten Island University South, Floor 1
Staten Island, NY 10309-3932 - Phone
- (718) 876-6220
- Fax
- (718) 876-5969
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard Lefkovic, M. D.
- Title
- C. E. O.
- Phone
- (718) 876-6220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
375 Seguine Ave
Staten Island University South, Floor 1
Staten Island, NY 10309-3932
Mailing address
97 New Dorp LN
Suite a
Staten Island, NY 10306-2347
Phone (718) 876-6220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00721426 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2031 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560
347 Edison St
Staten Island, NY 10306
Phone (718) 351-1136
97 New Dorp Ln
Staten Island, NY 10306
Phone (718) 667-6664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Staten Island, NY
- NPI 1225013436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447200000000",
"number": "1376513093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 NEW DORP LN",
"address_2": "SUITE A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062347",
"telephone_number": "718-876-6220",
"fax_number": "718-876-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 SEGUINE AVE",
"address_2": "STATEN ISLAND UNIVERSITY SOUTH, FLOOR 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093932",
"telephone_number": "718-876-6220",
"fax_number": "718-876-5969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND ELECTROCARDIOGRAPHIC SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2015-11-11",
"status": "A",
"authorized_official_last_name": "LEFKOVIC",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "C. E. O.",
"authorized_official_telephone_number": "718-876-6220",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00721426",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.