Organization Active NPI

Acute Cardiac Care PLLC

  • Cardiovascular Disease Physician
  • Manhasset, NY
National Provider Identifier
1699264986
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ACUTE CARDIAC CARE PLLC
Practice address
1129 Northern Blvd Ste 404
Manhasset, NY 11030-3022
Phone
(516) 305-5531
NPI assigned
May 2, 2018
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Victor AzerNPI 1326202805
Title
MD
Phone
(516) 305-5531

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1129 Northern Blvd Ste 404
Manhasset, NY 11030-3022

Mailing address

1129 Northern Blvd Ste 404
Manhasset, NY 11030-3022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627001126 NY Part B Supplier - Clinic/Group Practice 5193071504 Receives reassigned benefits from 3 practitioners
Practice locations: Forest Hills, NY; Syosset, NY; Plainview, NY; New Hyde Park, NY; Manhasset, NY

National Provider Directory

National Provider Directory

Locations

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

Practitioners & affiliated clinicians

Practitioners 6

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": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1699264986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD STE 404",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD STE 404",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303022",
            "telephone_number": "516-305-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARDIAC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-305-5531"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.