Organization Active NPI

Lifeguard Medical PLLC

  • Anesthesiology Physician
  • Great Neck, NY
National Provider Identifier
1497968895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LIFEGUARD MEDICAL PLLC
Practice address
15 Cuttermill Rd
Suite # 232
Great Neck, NY 11021-3252
Phone
(516) 829-4522
NPI assigned
May 8, 2007
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
Vasant Chheda, M.D.
Title
President
Phone
(516) 829-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

15 Cuttermill Rd
Suite # 232
Great Neck, NY 11021-3252

Mailing address

15 Cuttermill Rd
Suite # 232
Great Neck, NY 11021-3252
Phone (516) 829-4522

National Provider Directory

National Provider Directory

Locations

15 Cuttermill Rd
Ste 232
Great Neck, NY 11021
Phone (516) 829-4522

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497968895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CUTTERMILL RD",
            "address_2": "SUITE # 232",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213252",
            "telephone_number": "516-829-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CUTTERMILL RD",
            "address_2": "SUITE # 232",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213252",
            "telephone_number": "516-829-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHHEDA",
        "authorized_official_first_name": "VASANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-829-4522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.