Long Island Arrhythmia Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

235491 Issued in NY

Legal business name

LONG ISLAND ARRHYTHMIA ASSOCIATES LLC

Practice address

515 Route 111 FL 2
Hauppauge, NY 11788-4339

Phone

(631) 224-1819

Fax

(631) 224-1812

NPI assigned

Jul 12, 2006

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Trenczer

Title

Billing Manager

Phone

(845) 357-2780

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1669497863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "address_2": "2ND FLOOR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-224-1819",
            "fax_number": "631-224-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111 FL 2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-224-1819",
            "fax_number": "631-224-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ARRHYTHMIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "TRENCZER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "845-357-2780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "235491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.