NPIMap

Organization Active NPI

Advanced Cardiac Care,PLLC

  • Specialist
  • Ozone Park, NY
National Provider Identifier
1437334646
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
222928-1 Issued in NY
Legal business name
ADVANCED CARDIAC CARE,PLLC
Practice address
9511 101St Ave
Ozone Park, NY 11416-2500
Phone
(646) 270-1967
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Michael Luz Avaricio, MDNPI 1639275084
Title
Cardiologist
Phone
(718) 360-5060

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 222928-1 NY Primary

Addresses

Primary practice location

9511 101St Ave
Ozone Park, NY 11416-2500

Mailing address

9511 101St Ave
Ozone Park, NY 11416-2500
Phone (646) 270-1967

Other identifiers 13

IdentifierTypeStateIssuer
2831485OtherUNITED HEALTHCARE
463645POtherNYHIP
0231345OtherGHI
0237948OtherGHI PPO
768AB1OtherEMPIRE
100283148501OtherAMERIGROUP
0529996OtherAETNA HMO
9174139OtherAETNA
1754308OtherAETNA HMO
100283148501OtherUNITED HEALTHCARE OF NY
8168740OtherCIGNA
P3776399OtherOXFORD
767AY1OtherEMPIRE BLUE CROSS

Other names 2

  • COMPREHENSIVE CARDIO Doing business as
  • MICHAEL AVARICIO Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000022 NY Part B Supplier - Clinic/Group Practice 6204910391 Receives reassigned benefits from 1 practitioner
Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory

Locations

9712 63rd Dr
Ste Cc
Rego Park, NY 11374
Phone (718) 360-5060

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/criterions.acc
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFEDD

Practitioners & affiliated clinicians

Practitioners 3

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1437334646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "646-270-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "646-270-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "AVARICIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "718-360-5060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "222928-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2831485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "463645P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0231345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0237948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "768AB1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "100283148501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0529996",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9174139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1754308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF NY",
            "identifier": "100283148501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8168740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3776399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "767AY1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE CARDIO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MICHAEL AVARICIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.