SHORE ROAD CARDIOLOGY ASSOCIATES, PC (NPI# 1790791457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790791457 |
| Entity Type | Organization |
| Organization Name | SHORE ROAD CARDIOLOGY ASSOCIATES, PC |
| Practice Address |
150 55th St Brooklyn NY 11220-2559 |
| Mailing Address |
5800 3rd Ave Lutheran Medical Center-managed Care Department Brooklyn NY 11220-3702 |
| Practice Telephone | 7186307477 |
| Practice Fax Number | 7186308515 |
| Mailing Telephone | 7186307477 |
| Mailing Fax Number | 7186307437 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MR. GARY DELLACERRA (VP MANAGED CARE & REVENUE COMPLIANC) |
| Authorized Official Telephone | 7186307103 |
| Authorized Official Credential | V.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
16885 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
16885 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
16885 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00820939 | 05 |
| Street Address |
150 55TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364281 | Leslie Brown-aptekar | Genetic Counselor, MS | 150 55th St, Ste 5-04, Brooklyn, NY 11220-2559 | 2005-05-27 |
| 1649870528 | Diana Yakubova | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-29 |
| 1376142455 | Sammie Liu | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-20 |
| 1083213458 | Megan Nevers | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-18 |
| 1265030365 | Esther Liliane Kassin | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-12 |
| 1124625272 | Sharon Berger | Obstetrics & Gynecology | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-01 |
| 1649884644 | Christina Mikhael | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-09-07 |
| 1285243378 | Safina Skaf | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-07-24 |
| 1184241853 | Cora-ann Oregan | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-29 |
| 1407471626 | Aaron Shea | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1194345306 | Laura Cafro | Nurse Practitioner | 150 55 Th St, Brooklyn, NY 11220 | 2020-04-17 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1548729775 | Ayah Rashwan | Student in an Organized Health Care Education/Training Program | Nyu Langone Health 150 55th St, Brooklyn, NY 11220 | 2019-03-18 |
| 1477012854 | Jeffrey A Dang | Physician Assistant | 5517 7th Ave. #1f, Brooklyn, NY 11220 | 2019-03-15 |
| Find all providers in zip 11220 | ||||
| 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. |
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| 1649767013 | Complete Express Medical PC | Internal Medicine | 3047 Avenue U Ste 2, Brooklyn, NY 11229-5144 | 2018-04-20 |
| 1699287201 | Heart & Rhythm Centers of Excellence, Inc | Internal Medicine | 1623 Flatbush Ave Ste 110, Brooklyn, NY 11210-3259 | 2017-11-05 |
| 1073962304 | Feel Good Medical PC | Internal Medicine | 2965 Ocean Pkwy Ste 2b, Brooklyn, NY 11235-8048 | 2016-06-07 |
| 1871958140 | Med Care Consultants | Internal Medicine | 4713 Church Ave, Brooklyn, NY 11203-3209 | 2015-12-30 |
| 1710366729 | Nyc Diagnostic Medical P.C. | Internal Medicine | 622 Avenue X, Brooklyn, NY 11235-6120 | 2015-05-22 |
| 1952723017 | Jeremiah M Gelles, Md PC | Internal Medicine | 508 78th St, Brooklyn, NY 11209-3706 | 2014-01-09 |
| 1265862486 | Cardiovascular Wellness Medical | Internal Medicine | 2606 Haring St Fl 2, Brooklyn, NY 11235-1606 | 2013-11-25 |
| 1821437401 | Pace Cardiology PC | Internal Medicine | 135 Ocean Pkwy Ste 1t, Brooklyn, NY 11218-2579 | 2013-06-18 |
| 1740522176 | Cardiac Associates of New York Pllc | Internal Medicine | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | 2013-03-24 |
| 1831430495 | Helping Hands Medical Services PC | Internal Medicine | 2422 Knapp St, Brooklyn, NY 11235-1006 | 2013-03-07 |
| Find all providers in BROOKLYN | ||||
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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.