Organization Active NPI

Cardiovascular Associates of Westchester

  • Cardiovascular Disease Physician
  • New Rochelle, NY
National Provider Identifier
1952464042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
135068 Issued in NY
Legal business name
CARDIOVASCULAR ASSOCIATES OF WESTCHESTER
Practice address
140 Lockwood Avenue
Suite 310
New Rochelle, NY 10901-4915
Phone
(914) 576-7171
Fax
(914) 840-1112
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marshall Ira Matos, MD
Title
President Physician
Phone
(914) 576-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 135068 NY Primary

Addresses

Primary practice location

140 Lockwood Avenue
Suite 310
New Rochelle, NY 10901-4915

Mailing address

140 Lockwood Avenue
Suite 310
New Rochelle, NY 10901-4915
Phone (914) 576-7171

Other identifiers 5

IdentifierTypeStateIssuer
2C4798OtherHEALTHNET
WS965OtherOXFORD
0079828OtherGHI
93A791OtherBLUE CROSS
0795550OtherCIGNA

National Provider Directory

National Provider Directory

Locations

140 Lockwood Ave
Ste 310
New Rochelle, NY 10801
Phone (914) 576-7171

Practitioners & affiliated clinicians

Practitioners 2

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952464042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVENUE",
            "address_2": "SUITE 310",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "109014915",
            "telephone_number": "914-576-7171",
            "fax_number": "914-840-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVENUE",
            "address_2": "SUITE 310",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "109014915",
            "telephone_number": "914-576-7171",
            "fax_number": "914-840-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF WESTCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "914-576-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "135068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C4798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS965",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0079828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "93A791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0795550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, 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.

Verify at the official NPI Registry.