Active NPI
South Shore Cardiologists, PC
- Cardiovascular Disease Physician
- Babylon, NY
National Provider Identifier
1891965174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTH SHORE CARDIOLOGISTS, PC
- Practice address
- 79 Deer Park Ave
Babylon, NY 11702-2801 - Phone
- (631) 587-0574
- Fax
- (631) 422-1055
- NPI assigned
- Mar 3, 2008
- 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
- Jeffrey S Rothburd, MD
- Title
- President
- Phone
- (631) 587-0574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
79 Deer Park Ave
Babylon, NY 11702-2801
Mailing address
79 Deer Park Ave
Babylon, NY 11702-2801
Phone (631) 587-0574
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1891965174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117022801",
"telephone_number": "631-587-0574",
"fax_number": "631-422-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117022801",
"telephone_number": "631-587-0574",
"fax_number": "631-422-1055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE CARDIOLOGISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "ROTHBURD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-587-0574",
"authorized_official_credential": "MD"
},
"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 Babylon, NY
- Ruth Solomon, M.D.
- Barbara Murphy Somers, FNP-C
- Sound Body Physical Therapy PC
- South Lake Chiropractic P.C.
- South Shore Acupuncture and Massage Therapy
- South Shore Center for Speech, Language and Swallowing Disorders, LLP
- South Shore Comprehensive Medical Group, PC
- South Shore Speech Language and Swallowing Disorders PLLC
- Dena Spanos
- Jeffrey A. Sparks, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.