NPIMap

Organization Active NPI

Gramercy Cardiac Diagnostic Services, P.C.

  • Nuclear Cardiology Physician
  • Forest Hills, NY
National Provider Identifier
1538336136
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
60144465 Issued in NY
Legal business name
GRAMERCY CARDIAC DIAGNOSTIC SERVICES, P.C.
Practice address
11241 Queens Blvd
Suite Lla
Forest Hills, NY 11375-5564
Phone
(718) 261-8050
Fax
(718) 261-8253
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Mr. Brian Labarbera
Title
Administrator
Phone
(212) 475-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X 60144465 NY Primary

Addresses

Primary practice location

11241 Queens Blvd
Suite Lla
Forest Hills, NY 11375-5564

Mailing address

920 Broadway
Suite 600
New York, NY 10010-6004
Phone (212) 475-8066

National Provider Directory

National Provider Directory
Tax ID family
Gramercy Cardiac Diagnostic SVCS PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

920 Broadway
Ste 600
New York, NY 10010
Phone (212) 475-8252

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1538336136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BROADWAY",
            "address_2": "SUITE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106004",
            "telephone_number": "212-475-8066",
            "fax_number": "212-475-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "address_2": "SUITE LLA",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755564",
            "telephone_number": "718-261-8050",
            "fax_number": "718-261-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY CARDIAC DIAGNOSTIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "LABARBERA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-475-8066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "60144465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.