Organization Active NPI

Premier Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Naples, FL
National Provider Identifier
1922447143
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREMIER CARDIOLOGY ASSOCIATES, LLC
Practice address
661 Goodlette-Frank Rd N Ste 104
Naples, FL 34102-5609
Phone
(239) 674-6593
Fax
(941) 827-2932
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Richard Demaio
Title
Ceo, President, Director
Phone
(917) 969-1925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

661 Goodlette-Frank Rd N Ste 104
Naples, FL 34102-5609

Mailing address

661 Goodlette-Frank Rd N Ste 104
Naples, FL 34102-5609
Phone (239) 674-6593

Other identifiers 1

IdentifierTypeStateIssuer
HS665AOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

5700 Stirling Rd
#9
Hollywood, FL 33021
Phone (954) 987-1585

1675 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 255-8898

7119 80th St
Ste 8314
Glendale, NY 11385

Practitioners & affiliated clinicians

Practitioners 1

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": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1922447143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE-FRANK RD N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-674-6593",
            "fax_number": "941-827-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE-FRANK RD N STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-674-6593",
            "fax_number": "941-827-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "DEMAIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO, PRESIDENT, DIRECTOR",
        "authorized_official_telephone_number": "917-969-1925"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HS665A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.