South Shore Cardiovascular Medicine P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

161768-1 Issued in NY

Legal business name

SOUTH SHORE CARDIOVASCULAR MEDICINE P C

Practice address

137 Broadway
Suite a
Amityville, NY 11701-2742

Phone

(631) 264-2424

Fax

(631) 264-0233

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John A Ruisi, MD

Title

President

Phone

(631) 264-2424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1629395751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BROADWAY",
            "address_2": "SUITE A",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012742",
            "telephone_number": "631-264-2424",
            "fax_number": "631-264-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BROADWAY",
            "address_2": "SUITE A",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012742",
            "telephone_number": "631-264-2424",
            "fax_number": "631-264-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE CARDIOVASCULAR MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "RUISI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-264-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "161768-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Emergency Physicians, PC
• South Bay Counseling, LCSW PC
• South Bay Psychological, P.C.
• South Oaks Hospital
• South Shore Cardiovascular Medicine
• South Shore Collaborative Psychiatry NP PLLC
• South Shore Magnetic Resonance Imaging Associates PC
• South Shore Optometric Associates, PC
• South Shore Therapeutic Massage, P.C.
• Marie Spaccarotella, LMSW

• Specialist in Amityville, NY
• Providers in Amityville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.