Active NPI
Laurelton Heart Specialist P.C.
- Cardiovascular Disease Physician
- Laurelton, NY
National Provider Identifier
1679769152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 202443
- Legal business name
- LAURELTON HEART SPECIALIST P.C.
- Practice address
- 22414 Merrick Blvd
Laurelton, NY 11413-2023 - Phone
- (718) 949-9400
- Fax
- (718) 228-3636
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olakunle Akinboboye, MD
- Title
- President
- Phone
- (718) 949-9400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 202443 | NY | Primary |
Addresses
Primary practice location
22414 Merrick Blvd
Laurelton, NY 11413-2023
Mailing address
PO Box 29
Roslyn, NY 11576-0029
Phone (718) 949-9400
Other names 1
- strong health medical group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Laurelton, NY
- NPI 1780632844
-
- Physical Therapist
- Rosedale, NY
- NPI 1598818569
-
- Internal Medicine Physician
- New York, NY
- NPI 1194173336
-
- Cardiovascular Disease Physician
- Astoria, NY
- NPI 1013177757
-
- Registered Dietitian
- Valley Stream, NY
- NPI 1487600854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1679769152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115760029",
"telephone_number": "718-949-9400",
"fax_number": "718-228-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22414 MERRICK BLVD",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132023",
"telephone_number": "718-949-9400",
"fax_number": "718-228-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURELTON HEART SPECIALIST P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "AKINBOBOYE",
"authorized_official_first_name": "OLAKUNLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-949-9400",
"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": "202443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "strong health medical group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurelton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.