NPIMap

Organization Active NPI

Caring Heart Cardiology and Primary Care P.C.

  • Cardiovascular Disease Physician
  • Manhasset, NY
National Provider Identifier
1740834274
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARING HEART CARDIOLOGY AND PRIMARY CARE P.C.
Practice address
800 Community Dr Ste 206
Manhasset, NY 11030-3821
Phone
(516) 403-9104
Fax
(516) 217-1852
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dr. Omid Javdan
Title
DO
Phone
(516) 403-9104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

800 Community Dr Ste 206
Manhasset, NY 11030-3821

Mailing address

40 Red Brook Rd
Great Neck, NY 11024-1439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190923002629 NY Part B Supplier - Clinic/Group Practice 7911237607 Receives reassigned benefits from 9 practitioners
Practice locations: Manhasset, NY; New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

800 Community Dr
Ste 206
Manhasset, NY 11030
Phone (516) 403-9104

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1740834274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RED BROOK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMMUNITY DR STE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303821",
            "telephone_number": "516-403-9104",
            "fax_number": "516-217-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEART CARDIOLOGY AND PRIMARY CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "JAVDAN",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "516-403-9104",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X 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 25, 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.