Atlantic Cardiovascular Care PC
Organization Active NPI Cardiovascular Disease Physician · Mount Vernon, NY
NPI 1508401217 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1508401217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- ATLANTIC CARDIOVASCULAR CARE PC
- Practice address
- 504 Gramatan Ave
Mount Vernon, NY 10552-3009 - Phone
- (732) 426-7948
- NPI assigned
- Nov 18, 2019
- Organization subpart
- No
Authorized official
- Name
- Maday C Gonzalez, MD
- Title
- Cardiologist
- Phone
- (646) 415-4122
Corporate family (same tax ID) 1
Practitioners 3
-
Maday C Gonzalez, M.D.
-
Paola Greiger-Zanlungo, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221222001106 | NY | Part B Supplier - Clinic/Group Practice | 5092185686 |
Receives reassigned benefits from 2 practitioners Practice locations: White Plains, NY; Mount Vernon, NY |
National Provider Directory
- Tax ID family
- Atlantic Cardiovascular Care
Locations
105 Stevens Ave
Ste 501
Mount Vernon, NY 10550
Phone (329) 215-1388
504 Gramatan Ave
Mount Vernon, NY 10552
Phone (914) 664-7323
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCCADD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
504 Gramatan Ave
Mount Vernon, NY 10552-3009
Mailing address
504 Gramatan Ave
Mount Vernon, NY 10552-3009
Phone (732) 426-7948
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112688592 | Other | NY | DRIVER LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.montefiore.org | Direct |
Other providers in Mount Vernon, NY
- Markos Asamenew
- Esther Asante
- Ann Marie Ashmeade
- Gifty Osei Asiedu
- Asok K Lahiri MD PC
- Juliette Austin
- Kamille Austria
- Flaminia Avantifiori
- Abigail Lorraine Aviles
- Natalie Ayala
All providers in Mount Vernon, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.