NY PREMIER CARDIOLOGY PC (NPI# 1962710475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962710475 |
| Entity Type | Organization |
| Organization Name | NY PREMIER CARDIOLOGY PC |
| Practice Address |
21012 Northern Blvd 1st Floor Bayside NY 11361-3240 |
| Mailing Address |
11 Drury Ln Great Neck NY 11023-1309 |
| Practice Telephone | 7182293100 |
| Practice Fax Number | 7182293103 |
| Mailing Telephone | 6313660390 |
| Mailing Fax Number | 6313660391 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MS. MAUREEN MURRAY (BILLING REPRESENTATIVE) |
| Authorized Official Telephone | 6313660390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
238940 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03296320 | 05 |
| Street Address |
21012 NORTHERN BLVD 1ST FLOOR |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619136181 | Omid Kohani | Internal Medicine | 21012 Northern Blvd, Bayside, NY 11361-3240 | 2008-06-09 |
| 1689118747 | Sky Radiology P.C. | Clinic/Center | 21012 Northern Blvd, Bayside, NY 11361-3240 | 2016-12-08 |
| 1407282361 | First Choice Walk-in Medical Care P.c | Clinic/Center | 21012 Northern Blvd, Bayside, NY 11361-3240 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| 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 |
|---|---|---|---|---|
| 1619136181 | Omid Kohani | Internal Medicine | 21012 Northern Blvd, Bayside, NY 11361-3240 | 2008-06-09 |
| 1588850911 | Terrace Medical, PC | Internal Medicine | 214 06 16th Avenue, Bayside, NY 11360-1218 | 2007-09-19 |
| 1578642229 | Barry Bellovin | Internal Medicine | 2335 Bell Blvd, Bayside, NY 11360-2038 | 2006-11-03 |
| 1770563538 | Stuart Okin | Internal Medicine | 21406 16th Ave, Bayside, NY 11360-1218 | 2006-01-18 |
| 1053399006 | Heart and Lung Associates, PC | Internal Medicine | 42-23 Francis Lewis Blvd, Ste 105, Bayside, NY 11361 | 2006-01-09 |
| 1790784239 | Martin M Kay | Internal Medicine | 4401 Francis Lewis Blvd, Suite L3a, Bayside, NY 11361-3028 | 2005-07-18 |
| 1982603411 | Kaman Ng | Internal Medicine | 44-01 Francis Lewis Boulevard, Suite L3a, Bayside, NY 11361-3002 | 2005-07-18 |
| 1609406412 | Cardiosmart Pllc | Internal Medicine | 21616 Union Tpke, Bayside, NY 11364-3525 | 2020-01-21 |
| 1669762258 | North Shore-lij Cardiovascular Medicine PC | Internal Medicine | 4401 Francis Lewis Blvd, Level 3a, Bayside, NY 11361-3002 | 2011-04-15 |
| 1245487081 | Daniel Marrero | Internal Medicine | 4401 Francis Lewis Blvd, Suite L3a, Bayside, NY 11361-3028 | 2008-08-22 |
| Find all providers in BAYSIDE | ||||
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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.