Bay Ridge Hearts Cardiovascular Care, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

122899 Issued in NY

Legal business name

BAY RIDGE HEARTS CARDIOVASCULAR CARE, PC

Practice address

217 Ovington Ave
Brooklyn, NY 11209-1204

Phone

(718) 238-0098

Fax

(718) 836-6849

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Antoine V Fernaine, MD

Title

President

Phone

(718) 238-0098

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1679747430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 OVINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091204",
            "telephone_number": "718-238-0098",
            "fax_number": "718-836-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 OVINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091204",
            "telephone_number": "718-238-0098",
            "fax_number": "718-836-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE HEARTS CARDIOVASCULAR CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "FERNAINE",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "122899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679929",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Family Health NP, PLLC
• Bay Ridge Family Medical Doctor P.C
• Bay Ridge Fourth Avenue Medical Associates, P. C.
• Bay Ridge Gastroenterology, PLLC
• Bay Ridge Gastroenterology, PLLC
• Bay Ridge Manual Physical Therapy PC
• Bay Ridge Med Arts Corp
• Bay Ridge Medical Care PLLC
• Bay Ridge Medical Consultants PC
• Bay Ridge Medical Group, PLLC

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.