NPIMap

Organization Active NPI

St. Francis Cardiac Prevention Services PC

  • Diagnostic Radiology Physician
  • Melville, NY
National Provider Identifier
1376952804
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ST. FRANCIS CARDIAC PREVENTION SERVICES PC
Practice address
245 Old Country Rd
Melville, NY 11747-2726
Phone
(631) 465-6001
NPI assigned
Aug 8, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Lorraine Hummel
Title
Director
Phone
(631) 465-6001

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 130

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

View all 130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20150414000094 NY Part B Supplier - Clinic/Group Practice 4183515836 Receives reassigned benefits from 127 practitioners
Practice locations: New Hyde Park, NY; Stony Brook, NY; Riverhead, NY; Greenvale, NY; Commack, NY; Centereach, NY

National Provider Directory

National Provider Directory
Tax ID family
St Francis Cardiac Prevention PC (2 organizations share this tax ID)

Locations

500 Commack Rd
Ste 105E
Commack, NY 11725

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

101 Northern Blvd
Greenvale, NY 11548
Phone (516) 629-2090

2200 Northern Blvd
Ste 150C
Greenvale, NY 11548

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

NPPES NPI Registry

Primary practice location

245 Old Country Rd
Melville, NY 11747-2726

Mailing address

245 Old Country Rd
Melville, NY 11747-2726
Phone (631) 465-6001

Other names 1

NPPES NPI Registry
  • St. Francis Diagnostic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2015.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1376952804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 OLD COUNTRY RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472726",
            "telephone_number": "631-465-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 OLD COUNTRY RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472726",
            "telephone_number": "631-465-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS CARDIAC PREVENTION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-465-6001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.