Active NPI
Grand Medical Baldwin
- Cardiovascular Disease Physician
- Baldwin, NY
National Provider Identifier
1396071445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- GRAND MEDICAL BALDWIN
- Practice address
- 1651 Grand Ave
Baldwin, NY 11510 - Phone
- (516) 442-1488
- Fax
- (516) 280-7660
- NPI assigned
- Oct 26, 2009
- 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
- Diana Scotto
- Title
- Billing Manager
- Phone
- (516) 882-3101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1651 Grand Ave
Baldwin, NY 11510
Mailing address
PO Box 624
Baldwin, NY 11510-0572
Phone (516) 442-1488
Other names 1
- DAY CARDIOLOGY
National Provider Directory
National Provider DirectoryLocations
1651 Grand Ave
North Baldwin, NY 11510
Phone (516) 442-1488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256601600000",
"number": "1396071445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 624",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115100572",
"telephone_number": "516-442-1488",
"fax_number": "516-280-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-442-1488",
"fax_number": "516-280-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND MEDICAL BALDWIN",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-27",
"status": "A",
"authorized_official_last_name": "SCOTTO",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "516-882-3101"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DAY CARDIOLOGY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.