NPIMap

Organization Active NPI

Five Towns Heart Imaging Medical P.C.

  • Cardiovascular Disease Physician
  • Cedarhurst, NY
National Provider Identifier
1609907005
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FIVE TOWNS HEART IMAGING MEDICAL P.C.
Practice address
650 Central Ave
Suite K
Cedarhurst, NY 11516-2301
Phone
(516) 804-8590
Fax
(516) 804-8591
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Sergio Sokol, MDNPI 1356398713
Title
Owner
Phone
(718) 615-7422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

650 Central Ave
Suite K
Cedarhurst, NY 11516-2301

Mailing address

650 Central Ave
Suite K
Cedarhurst, NY 11516-2301
Phone (917) 846-5707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000467 NY Part B Supplier - Clinic/Group Practice 5890846380 Receives reassigned benefits from 18 practitioners
Practice locations: Cedarhurst, NY; Freeport, NY

National Provider Directory

National Provider Directory

Locations

532 Neptune Ave
Rm 209
Brooklyn, NY 11224
Phone (718) 449-8860

650 Central Ave
Ste L
Cedarhurst, NY 11516

800 Front St
#820
Hempstead, NY 11550
Phone (516) 564-1100

290 Central Ave
Lawrence, NY 11559
Phone (516) 239-2332

9229 Queens Blvd
Ste 2A
Rego Park, NY 11374
Phone (347) 880-1884

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1609907005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CENTRAL AVE",
            "address_2": "SUITE K",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162301",
            "telephone_number": "917-846-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CENTRAL AVE",
            "address_2": "SUITE K",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162301",
            "telephone_number": "516-804-8590",
            "fax_number": "516-804-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE TOWNS HEART IMAGING MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "SOKOL",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-615-7422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.