Organization Active NPI

Interventional Cardiac Consultants, LLP

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1962584599
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INTERVENTIONAL CARDIAC CONSULTANTS, LLP
Practice address
3003 New Hyde Park Rd
406
New Hyde Park, NY 11042-1214
Phone
(516) 358-5401
Fax
(516) 358-5403
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Andrew M Grunwald, M.D.
Title
Senior Partner
Phone
(516) 358-5401

Specialties & licenses 1

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

Addresses

Primary practice location

3003 New Hyde Park Rd
406
New Hyde Park, NY 11042-1214

Mailing address

3003 New Hyde Park Rd
406
New Hyde Park, NY 11042-1214
Phone (516) 358-5401

Other identifiers 1

IdentifierTypeStateIssuer
02301251MedicaidNY

National Provider Directory

National Provider Directory

Locations

444 Lakeville Rd
Ste 202
New Hyde Park, NY 11042
Phone (516) 358-5401

3003 New Hyde Park Rd
Ste 406
New Hyde Park, NY 11042
Phone (516) 352-4210

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1962584599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "406",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-358-5401",
            "fax_number": "516-358-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "406",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-358-5401",
            "fax_number": "516-358-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL CARDIAC CONSULTANTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "GRUNWALD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "516-358-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02301251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.