Eastern Suffolk Cardiology PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

EASTERN SUFFOLK CARDIOLOGY PC

Practice address

951 Roanoke Ave
Riverhead, NY 11901-2724

Phone

(631) 727-7773

Fax

(631) 727-7832

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Crystal A Sirrine

Title

Credentialing

Phone

(631) 369-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J Lederman, MD

  • Cardiovascular Disease Physician
  • Riverhead, NY
  • NPI 1265420764
  NPD (past)
• Bibiana D Stephen, MD

  • Cardiovascular Disease Physician
  • Riverhead, NY
  • NPI 1811987522
  NPD (past)
• Patrick Valentino, MD

  • Cardiovascular Disease Physician
  • Riverhead, NY
  • NPI 1669460226
  NPD (past)
• Alan N Decarlo, MD

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1144280918
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1700824364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012724",
            "telephone_number": "631-727-7773",
            "fax_number": "631-727-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012724",
            "telephone_number": "631-727-7773",
            "fax_number": "631-727-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SUFFOLK CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "SIRRINE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "631-369-5005"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01456404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East End Rheumatology PLLC
• East End Urgent & Primary Care Medicine PLLC
• East Saffolk Dental PC
• Eastern Long Island Hematology Oncology, P.C.
• Eastern Suffolk Cardiology - Stony Brook Community Medical PC
• Eastern Suffolk Nephrology PC
• Eastern Suffolk Nephrology, PC
• Eastern Suffolk Pulmonology,PC
• Eastside Orthotics & Prosthetics, Inc
• Carrie Ann Edington, LMHC

• Cardiovascular Disease Physician in Riverhead, NY
• Providers in Riverhead, 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 Dec 11, 2012; 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.