Organization Active NPI

Heart Care of New York, PC

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1740418433
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
257109 Issued in NY
Legal business name
HEART CARE OF NEW YORK, PC
Practice address
22 Pine Dr
Great Neck, NY 11021-2838
Phone
(516) 365-2046
NPI assigned
Jul 1, 2009
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Vasundhara Vidyarthi, M.D.NPI 1114144235
Title
Director
Phone
(847) 847-5158

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 SINGLE SPECIALTY GROUP 207RC0000X 257109 NY Primary

Addresses

Primary practice location

22 Pine Dr
Great Neck, NY 11021-2838

Mailing address

22 Pine Dr
Great Neck, NY 11021-2838
Phone (847) 840-5158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090902000521 NY Part B Supplier - Clinic/Group Practice 8820143464 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2319894Heart Care of New York PC22 Pine Dr, Great Neck, NY 11021Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

75 Plandome Rd
Manhasset, NY 11030
Phone (516) 365-5136

Practitioners & affiliated clinicians

Practitioners 3

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": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1740418433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212838",
            "telephone_number": "847-840-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212838",
            "telephone_number": "516-365-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "VIDYARTHI",
        "authorized_official_first_name": "VASUNDHARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-847-5158",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "257109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.