Organization Active NPI

Rye Brook Cardiology & Vascular Medicine, P.C.

  • Cardiovascular Disease Physician
  • Rye Brook, NY
National Provider Identifier
1629433404
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
182644-1 Issued in NY
Legal business name
RYE BROOK CARDIOLOGY & VASCULAR MEDICINE, P.C.
Practice address
14 Rye Ridge PLZ
Ste. 234
Rye Brook, NY 10573-2826
Phone
(914) 251-1070
Fax
(914) 935-9047
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Dr. Myung-Ho Lee, M.D., FACC, RVTNPI 1023070075
Title
President
Phone
(914) 251-1070

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 182644-1 NY Primary

Addresses

Primary practice location

14 Rye Ridge PLZ
Ste. 234
Rye Brook, NY 10573-2826

Mailing address

14 Rye Ridge PLZ
Ste. 234
Rye Brook, NY 10573-2826
Phone (914) 251-1070

Other identifiers 1

IdentifierTypeStateIssuer
1445216MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1629433404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "STE. 234",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-251-1070",
            "fax_number": "914-935-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "STE. 234",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-251-1070",
            "fax_number": "914-935-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE BROOK CARDIOLOGY & VASCULAR MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MYUNG-HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-251-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACC, RVT"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "182644-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445216",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.