Organization Active NPI

Island Electrocardiographic Services, PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1376513093
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Nov 11, 2015

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00721426MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.