Organization Active NPI

Alliance Cardiovascular Care PLLC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1427773068
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ALLIANCE CARDIOVASCULAR CARE PLLC
Practice address
420 E 55TH St Apt 1F
New York, NY 10022-5140
Phone
(212) 400-9951
Fax
(212) 737-7310
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Marc Nolan, MDNPI 1144295312
Title
Owner
Phone
(917) 535-5574

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

420 E 55TH St Apt 1F
New York, NY 10022-5140

Mailing address

301 E 79TH St Apt 12J
New York, NY 10075-0938

Other practice location 1

205 E 78th St
New York, NY 10075-1243
Phone (212) 400-9951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230425001950 NY Part B Supplier - Clinic/Group Practice 4981069010 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2295029Alliance Cardiovascular Care PLLC205 East 78TH Street, 1St Floor, New York, NY 10075Certificate of waiverDec 4, 2025

National Provider Directory

National Provider Directory

Locations

420 E 55th St
Apt 1F
New York, NY 10022
Phone (212) 400-9951

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": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1427773068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST APT 12J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 55TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225140",
            "telephone_number": "212-400-9951",
            "fax_number": "212-737-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E 78th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751243",
            "country_code": "US",
            "telephone_number": "212-400-9951",
            "fax_number": "212-737-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE CARDIOVASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-535-5574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.