LUIS MARIO ASTUDILLO (NPI# 1114974623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114974623 |
| Entity Type | Individual |
| Full Name | LUIS MARIO ASTUDILLO |
| Credential | MD |
| Practice Address |
3131 Grand Concourse Suite 1b Bronx NY 10468-1442 |
| Mailing Address |
Po Box 837 Hartsdale NY 10530-0837 |
| Practice Telephone | 7182957900 |
| Practice Fax Number | 7182954160 |
| Mailing Telephone | 7185626570 |
| Mailing Fax Number | 7183465313 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
243249 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 350518195A | 05 |
| Street Address |
3131 GRAND CONCOURSE SUITE 1B |
| City | BRONX |
| State | NY |
| Zip Code | 10468-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093257925 | Linda Washington | Social Worker | 3131 Grand Concourse, Apt 4g, Bronx, NY 10468-1442 | 2016-11-09 |
| 1174726855 | Cardiology Unlimited PC | Internal Medicine | 3131 Grand Concourse, Suite 1b, Bronx, NY 10468-1442 | 2007-06-08 |
| 1285734855 | Cary Scott Pollack | Internal Medicine | 3131 Grand Concourse, Bronx, NY 10468-1442 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| 1720560741 | Dr Vezza Medical Services PC | Internal Medicine | 3594 E Tremont Ave Ste 100, Bronx, NY 10465-2032 | 2018-09-06 |
| 1558877183 | Cardiac Care of Ny | Internal Medicine | 1200 Waters Pl Ste 308, Bronx, NY 10461-2729 | 2017-12-19 |
| 1093150161 | Yufei Tang | Internal Medicine | 2426 Eastchester Rd Ste 202, Bronx, NY 10469-5950 | 2013-05-02 |
| 1659626216 | Mahek K Shah | Internal Medicine | 3400 Bainbridge Ave # Map7, Bronx, NY 10467-2404 | 2012-07-19 |
| 1598078750 | Most Sirajum Munira | Internal Medicine | 234 E 149th St, Lincoln Hospital, Ccardiology, Bronx, NY 10451 | 2010-07-16 |
| 1487821484 | Mahjabeen Rashid | Internal Medicine | 130 W Kingsbridge Rd Ste E, Bronx, NY 10468-3904 | 2008-05-09 |
| 1508931999 | Gerald Walter Neuberg | Internal Medicine | 3050 Corlear Ave # 204, Bronx, NY 10463-5180 | 2006-11-21 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.