Organization Active NPI

Cardiocare Imaging PC

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1962703017
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOCARE IMAGING PC
Practice address
2310 Eastchester Rd
Bronx, NY 10469-5911
Phone
(718) 519-6340
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Donald C Wallerson, M.D.
Title
President
Phone
(718) 519-6340

Specialties & licenses 1

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

Addresses

Primary practice location

2310 Eastchester Rd
Bronx, NY 10469-5911

Mailing address

2310 Eastchester Rd
Bronx, NY 10469-5911
Phone (718) 519-6340

National Provider Directory

National Provider Directory

Locations

2310 Eastchester Rd
Bronx, NY 10469
Phone (718) 519-6340

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1962703017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695911",
            "telephone_number": "718-519-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695911",
            "telephone_number": "718-519-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOCARE IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "WALLERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-519-6340",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.