Organization Active NPI

Heart Medical, PLLC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1659412427
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
215539 Issued in NY
Legal business name
HEART MEDICAL, PLLC
Practice address
145 E 15TH St
Suite 1a
New York, NY 10003-3531
Phone
(718) 336-4806
Fax
(718) 336-4308
NPI assigned
Feb 12, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Rose Marie Carrera, M.D.NPI 1568413045
Title
Director
Phone
(718) 336-4806

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 Physician 207RC0000X 215539 NY Primary

Addresses

Primary practice location

145 E 15TH St
Suite 1a
New York, NY 10003-3531

Mailing address

1833 E 13TH St
Suite 1B
Brooklyn, NY 11229-2894
Phone (718) 336-4806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000886 NY Part B Supplier - Clinic/Group Practice 8224055785 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

1833 E 13th St
Ste 1B
Brooklyn, NY 11229
Phone (646) 637-6918

1 Haven Plz
Ofc 1
New York, NY 10009
Phone (718) 336-4806

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1659412427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292894",
            "telephone_number": "718-336-4806",
            "fax_number": "718-336-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033531",
            "telephone_number": "718-336-4806",
            "fax_number": "718-336-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "ROSE  MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-336-4806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "215539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.