Organization Active NPI

Atlantic Cardiovascular Care PC

  • Cardiovascular Disease Physician
  • Mount Vernon, NY
National Provider Identifier
1508401217
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 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
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Maday C Gonzalez, MDNPI 1841599388
Title
Cardiologist
Phone
(646) 415-4122

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

504 Gramatan Ave
Mount Vernon, NY 10552-3009

Mailing address

504 Gramatan Ave
Mount Vernon, NY 10552-3009
Phone (732) 426-7948

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.montefiore.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Tax ID family
Atlantic Cardiovascular Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

52 New Main St
Haverstraw, NY 10927

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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCADD

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1508401217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GRAMATAN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523009",
            "telephone_number": "732-426-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GRAMATAN AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523009",
            "telephone_number": "732-426-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CARDIOVASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MADAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "646-415-4122",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.montefiore.org",
            "affiliation": "N",
            "endpointDescription": "Montefiore",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 E 210th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104672401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.