Suffolk Cardiovascular Consultants, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

186182 Issued in NY

Legal business name

SUFFOLK CARDIOVASCULAR CONSULTANTS, PLLC

Practice address

1920 Deer Park Ave
Suite 104
Deer Park, NY 11729-3314

Phone

(631) 392-1680

Fax

(631) 392-1683

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R Landolphi, MD

Title

President/Owner

Phone

(631) 456-0044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1588846703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DEER PARK AVE",
            "address_2": "SUITE 104",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293314",
            "telephone_number": "631-392-1680",
            "fax_number": "631-392-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DEER PARK AVE",
            "address_2": "SUITE 104",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293314",
            "telephone_number": "631-392-1680",
            "fax_number": "631-392-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK CARDIOVASCULAR CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "LANDOLPHI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-456-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "186182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.