Organization Active NPI

Integrative Cardiology, PLLC

  • Specialist
  • Mineola, NY
National Provider Identifier
1528388741
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NYS204271 Issued in NY
Legal business name
INTEGRATIVE CARDIOLOGY, PLLC
Practice address
121 Jericho Tpke
Mineola, NY 11501-1821
Phone
(516) 746-1103
Fax
(516) 746-1114
NPI assigned
Jun 10, 2010
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Dr. Regina S. Druz, M.D.NPI 1023115607
Title
Owner
Phone
(917) 923-2795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NYS204271 NY Primary

Addresses

Primary practice location

121 Jericho Tpke
Mineola, NY 11501-1821

Mailing address

121 Jericho Tpke
Mineola, NY 11501-1821
Phone (516) 746-1103

Other identifiers 1

IdentifierTypeStateIssuer
03319188MedicaidNY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9464/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1528388741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011821",
            "telephone_number": "516-746-1103",
            "fax_number": "516-746-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011821",
            "telephone_number": "516-746-1103",
            "fax_number": "516-746-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "DRUZ",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-923-2795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "NYS204271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03319188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.