Memorial Cardiopulmonary Group
Organization Active NPI Cardiovascular Disease Physician · New York, NY
NPI 1679544241 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1679544241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- MEMORIAL CARDIOPULMONARY GROUP
- Practice address
- 1275 York Ave
New York, NY 10021-6007 - Phone
- (646) 227-3813
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles A Ryke
- Title
- Manager
- Phone
- (646) 227-3650
Practitioners 52
-
Megan C Bates, FNP
-
Michael S Baum, MD
-
Angel T. Chan, M.D., PH.D.
-
Paul Cohen, M.D.
-
Dipti Gupta, MD, MPH
-
Ioanna Kosmidou, MD
-
Jennifer Liu, MD
-
Eileen P McAleer, MD
-
Wendy L Schaffer, MD
-
Dylana Smith, MS, AGPCNP-BC, HNP
-
Howard Weinstein, MD
-
Anthony Yu, MD
-
Kimberly Bukoski, PA-C
-
Carol Chen, MD
-
Neisha Ann Dejesus, PA-C
-
John Puchalski, PA-C
-
Sofia Romero, PHYSICIAN ASSISTANT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001816 | NY | Part B Supplier - Clinic/Group Practice | 4688563018 |
Receives reassigned benefits from 50 practitioners Practice locations: New York, NY |
National Provider Directory
Locations
633 3rd Ave
#232
New York, NY 10017
Phone (212) 639-7203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
1275 York Ave
New York, NY 10021-6007
Mailing address
633 3Rd Ave
Box 3
New York, NY 10017-6706
Other providers in New York, NY
- Nicole Memoli
- Amaar Memon
- Sehrish Memon
- Shazia Memon
- Memorial Anesthesiology Group
- Memorial Clinical Genetics Group
- Memorial Clinical Immunology Group
- Memorial Clinical Nutrition Group
- Memorial Clinical Physiology Group
- Memorial Critical Care Group
All providers in New York, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.