Organization Active NPI

Ocean Ave Medical and Cardiorehab P.C.

  • Internal Medicine Physician
  • East Rockaway, NY
National Provider Identifier
1609373778
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
122512 Issued in NY
Legal business name
OCEAN AVE MEDICAL AND CARDIOREHAB P.C.
Practice address
510 Ocean Ave
East Rockaway, NY 11518-1208
Phone
(516) 399-2225
Fax
(516) 399-2227
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Ms. Claire M Gilvary
Title
Office Manager
Phone
(516) 527-6529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 122512 NY Primary

Addresses

Primary practice location

510 Ocean Ave
East Rockaway, NY 11518-1208

Mailing address

510 Ocean Ave
East Rockaway, NY 11518-1208
Phone (516) 399-2225

Other identifiers 1

IdentifierTypeStateIssuer
1003887852OtherNYNPI

National Provider Directory

National Provider Directory

Locations

510 Ocean Ave
East Rockaway, NY 11518
Phone (516) 399-2225

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1609373778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 OCEAN AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181208",
            "telephone_number": "516-399-2225",
            "fax_number": "516-399-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OCEAN AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181208",
            "telephone_number": "516-399-2225",
            "fax_number": "516-399-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN AVE MEDICAL AND CARDIOREHAB P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "GILVARY",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-527-6529",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "122512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003887852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.