Individual provider Active NPI

Ralph F Caselnova II, M.D.

  • Specialist
  • Amityville, NY
National Provider Identifier
1548219835
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221213 Issued in NY
Practice address
129 Broadway
Amityville, NY 11701-2729
Phone
(631) 598-3434
Fax
(631) 598-4723
NPI assigned
May 6, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221213 NY Primary

Addresses

Primary practice location

129 Broadway
Amityville, NY 11701-2729

Mailing address

129 Broadway
Amityville, NY 11701-2729
Phone (631) 598-3434

Other identifiers 1

IdentifierTypeStateIssuer
02585784MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000154 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517942022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225

1000 N Village Ave
Rockville Center, NY 11570-1000

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting90
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
CHS Physician Partners, P.C CurrentSince Nov 9, 2022 Accepting new patients
Cardiac Ekg Interpretation, P. C. CurrentSince Jan 1, 2004 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Mathew T. Chengot MD PC Specialist CurrentSince Jul 1, 2004 Accepting new patients
CHS Physician Partners, PC CurrentSince Nov 9, 2022 Accepting new patients
Heartbeat Medical, PC Past Accepting new patients

Locations

129 Broadway
Amityville, NY 11701
Phone (516) 626-5330

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

300 Community Dr
Manhasset, NY 11030

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

393 Sunrise Hwy
West Babylon, NY 11704
Phone (631) 422-7200

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71355
  • Direct secure messaging: ralph.caselnova@amityvilleheartcenter.directbygreenway.com
  • Direct secure messaging: rcaselnova24563@direct-chsli.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1548219835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012729",
            "telephone_number": "631-598-3434",
            "fax_number": "631-598-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012729",
            "telephone_number": "631-598-3434",
            "fax_number": "631-598-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELNOVA",
        "first_name": "RALPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585784",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.