NPIMap

Organization Active NPI

Rockland Thoracic & Vascular Associates, P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pomona, NY
National Provider Identifier
1740235068
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
147810 Issued in NY
Legal business name
ROCKLAND THORACIC & VASCULAR ASSOCIATES, P.C.
Practice address
5A Medical Park Dr
Pomona, NY 10970-3516
Phone
(845) 362-0075
Fax
(845) 362-7475
NPI assigned
May 24, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mark Ellis Ginsburg, M.D.NPI 1992702575
Title
President
Phone
(845) 362-1081

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
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 147810 NY Primary

Addresses

Primary practice location

5A Medical Park Dr
Pomona, NY 10970-3516

Mailing address

5A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-0075

Other identifiers 1

IdentifierTypeStateIssuer
01039394MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000398 NY Part B Supplier - Clinic/Group Practice 8325936479 Receives reassigned benefits from 15 practitioners
Practice locations: Fishkill, NY; New City, NY; Pomona, NY; White Plains, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

25 Rockwood Pl
Ste 330
Englewood, NJ 07631
Phone (201) 405-5195

350 Engle St
Ste 6501
Englewood, NJ 07631
Phone (201) 608-2800

873 Route 45
Ste 104105
New City, NY 10956

5 Medical Park Dr
#A
Pomona, NY 10970

32 Canal St
Port Jervis, NY 12771
Phone (845) 672-3960

873 N Main St
Ste 104
Spring Valley, NY 10977

257 Lafayette Ave
Ste 360
Suffern, NY 10901

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1740235068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-0075",
            "fax_number": "845-362-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-0075",
            "fax_number": "845-362-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND THORACIC & VASCULAR ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "GINSBURG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-362-1081",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "147810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.