Ny Premier Cardiology PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

238940 Issued in NY

Legal business name

NY PREMIER CARDIOLOGY PC

Practice address

21012 Northern Blvd
1St Floor
Bayside, NY 11361-3240

Phone

(516) 466-7800

Fax

(718) 229-3103

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Maureen Murray

Title

Billing Representative

Phone

(516) 466-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omid Kohani, MD

  • Cardiovascular Disease Physician
  • Bayside, NY
  • NPI 1619136181
  Medicare reassignment NPD
• Alan Omid Khadavi, MD

  • Allergy & Immunology Physician
  • Beverly Hills, CA
  • NPI 1841220621
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1962710475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DRURY LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231309",
            "telephone_number": "631-366-0390",
            "fax_number": "631-366-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21012 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613240",
            "telephone_number": "516-466-7800",
            "fax_number": "718-229-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PREMIER CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "516-466-7800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "238940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03296320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Nunez
• David Paul Nupp, PT
• Anora Nuritdinova, PHARMD
• Nutriall Wellness Center LLC
• Ny Core Physical Therapy, PC
• Ny Priority Medical Care PLLC
• Nyc Fly Wheels Inc.
• Nyeeqasc,LLC
• Erin Marie O'Byrne
• Robert O'Connell, PHARMD

• Cardiovascular Disease Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.