Active NPI
New York Comprehensive Cardiology PLLC
- Cardiovascular Disease Physician
- Ridgewood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 220423
- Legal business name
- NEW YORK COMPREHENSIVE CARDIOLOGY PLLC
- Practice address
- 790 Seneca Ave
Ridgewood, NY 11385-4123 - Phone
- (718) 486-4278
- NPI assigned
- May 27, 2006
- Last updated
- Jul 23, 2008
- 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. Sanjeev Palta, MD
- Title
- Owner
- Phone
- (718) 486-4278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 220423 | NY | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 220423 | NY |
Addresses
Primary practice location
790 Seneca Ave
Ridgewood, NY 11385-4123
Mailing address
PO Box 750782
Forest Hills, NY 11375-0782
Phone (718) 486-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02674413 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
374 Stockholm St
Ste 3047
Brooklyn, NY 11237
Phone (718) 486-4278
95 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4276
95 Wyckoff Ave
Ste 1001
Brooklyn, NY 11237
Phone (718) 821-6285
6240 Forest Ave
Ridgewood, NY 11385
Phone (718) 418-0100
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Brooklyn, NY
- NPI 1265401152
Cardiovascular Disease
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508133539
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1104157627
-
- Internal Medicine Physician
- Ridgewood, NY
- NPI 1164480570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1417904434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 750782",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113750782",
"telephone_number": "718-486-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 SENECA AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113854123",
"telephone_number": "718-486-4278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK COMPREHENSIVE CARDIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "PALTA",
"authorized_official_first_name": "SANJEEV",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-486-4278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "220423",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NY",
"license": "220423",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02674413",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.