Active NPI
Heartcare Medical Group, PLLC
- Cardiovascular Disease Physician
- Flushing, NY
National Provider Identifier
1780729111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 152102
- Legal business name
- HEARTCARE MEDICAL GROUP, PLLC
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1231
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eva Loudaros
- Title
- Service Representative
- Phone
- (718) 204-0414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 152102 | NY | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
1303 209TH St
Bayside, NY 11360-1123
Phone (718) 279-4300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109798 | Other | NY | DR. ARORA LICENSE # |
| 152102 | Other | NY | DR. MORDEN LICENSE# |
| 00971857 | Medicaid | NY | |
| 00194954 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Whitestone, NY
- NPI 1528157872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780729111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 209TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601123",
"telephone_number": "718-279-4300",
"fax_number": "718-204-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTCARE MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOUDAROS",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "SERVICE REPRESENTATIVE",
"authorized_official_telephone_number": "718-204-0414",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "152102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. ARORA LICENSE #",
"identifier": "109798",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. MORDEN LICENSE#",
"identifier": "152102",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00971857",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00194954",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.