Organization Active NPI

New York Comprehensive Cardiology PLLC

  • Cardiovascular Disease Physician
  • Ridgewood, NY
National Provider Identifier
1417904434
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
220423 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sanjeev Palta, MDNPI 1265401152
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02674413MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051202000304 NY Part B Supplier - Clinic/Group Practice 8527088715 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.