Active NPI
Gold Coast Cardiology PC
- Cardiovascular Disease Physician
- Great Neck, NY
National Provider Identifier
1962832485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 175571-1
- Legal business name
- GOLD COAST CARDIOLOGY PC
- Practice address
- 370 Northern Blvd
Great Neck, NY 11021-4813 - Phone
- (516) 874-0441
- Fax
- (516) 874-0441
- NPI assigned
- Nov 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Clancy
- Title
- Executive Administrator
- Phone
- (631) 983-3934
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 175571-1 | NY | Primary |
| Nuclear Cardiology Physician | 207UN0901X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
370 Northern Blvd
Great Neck, NY 11021-4813
Mailing address
370 Northern Blvd
Great Neck, NY 11021-4813
Phone (516) 874-0441
National Provider Directory
National Provider DirectoryLocations
370 Northern Blvd
#101
Great Neck, NY 11021
Phone (516) 874-0441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384819200000",
"number": "1962832485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214813",
"telephone_number": "516-874-0441",
"fax_number": "516-874-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214813",
"telephone_number": "516-874-0441",
"fax_number": "516-874-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COAST CARDIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A",
"authorized_official_last_name": "CLANCY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
"authorized_official_telephone_number": "631-983-3934"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "175571-1",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.