Organization Active NPI

Premier Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1497773394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
NY DOES NOT ISSUE Issued in NY
Legal business name
PREMIER CARDIOLOGY CONSULTANTS, PLLC
Practice address
2001 Marcus Ave
Suite N-122
New Hyde Park, NY 11042-1011
Phone
(516) 437-5600
Fax
(516) 437-7428
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sumit Mittle, M.D.NPI 1205852290
Title
Managing Member
Phone
(516) 437-5600

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: 193400000X SINGLE SPECIALTY GROUP 207RC0000X NY DOES NOT ISSUE NY Primary

Addresses

Primary practice location

2001 Marcus Ave
Suite N-122
New Hyde Park, NY 11042-1011

Mailing address

2001 Marcus Ave
Suite N-122
New Hyde Park, NY 11042-1011
Phone (516) 437-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000989 NY Part B Supplier - Clinic/Group Practice 7618912965 Receives reassigned benefits from 15 practitioners
Practice locations: West Hempstead, NY; New Hyde Park, NY; Plainview, NY; Queens Village, NY; Richmond Hill, NY; South Richmond Hill, NY; Springfield Gardens, NY; Valley Stream, 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
33D2102021Premier Cardiology Consultants PLLC2001 Marcus Avenue, Suite E247-E249, Lake Success, NY 11042ComplianceSep 27, 2026

National Provider Directory

National Provider Directory

Locations

10810 72nd Ave
Forest Hills, NY 11375
Phone (718) 261-1471

10721 Queens Blvd
Ste 6
Forest Hills, NY 11375
Phone (718) 261-2992

26402 Hillside Ave
Glen Oaks, NY 11004
Phone (516) 344-5553

13450 Guy R Brewer Blvd
Jamaica, NY 11434

2001 Marcus Ave
Ste N122
New Hyde Park, NY 11042
Phone (518) 437-5600

1574 Hillside Ave
New Hyde Park, NY 11040
Phone (347) 475-0911

8501 Rockaway Blvd
Ozone Park, NY 11416
Phone (718) 925-2195

10923 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 441-0299

11407 101st Ave
South Richmond Hill, NY 11419
Phone (504) 669-1304

12419 101st Ave
South Richmond Hill, NY 11419
Phone (718) 847-3800

10 E Merrick Rd
Ste 207
Valley Stream, NY 11580
Phone (516) 256-2017

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497773394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-122",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-5600",
            "fax_number": "516-437-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-122",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-5600",
            "fax_number": "516-437-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOLOGY CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTLE",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-437-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "NY DOES NOT ISSUE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.