1932253739 NPI number — RSC CARDIOLOGY SERVICES, PLLC

Table of content: (NPI 1932253739)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932253739 NPI number — RSC CARDIOLOGY SERVICES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RSC CARDIOLOGY SERVICES, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932253739
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 NORTHERN BLVD
Provider Second Line Business Mailing Address:
SUITE 120
Provider Business Mailing Address City Name:
GREAT NECK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11021-5312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-466-8900
Provider Business Mailing Address Fax Number:
516-482-1808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 NORTHERN BLVD
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
GREAT NECK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11021-5312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-466-8900
Provider Business Practice Location Address Fax Number:
516-482-1808
Provider Enumeration Date:
01/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CAPUTO
Authorized Official First Name:
ANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
516-466-8900

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  127517 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1518956903 . This is a "NPI ROBBINS" identifier . This identifiers is of the category "OTHER".
  • Identifier: A1000008013 . This is a "MEDICARE PTAN STECHEL" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: A400008018 . This is a "MEDICARE PTAN ROBBINS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1164411575 . This is a "NPI CUNNINGHAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: A400008003 . This is a "MEDICARE PTAN AUERBACH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1053300459 . This is a "NPI STECHEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1669644761 . This is a "NPI - AUERBACH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: A100000870 . This is a "MEDICARE PTAN GROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: A400008011 . This is a "MEDICARE PTAN CUNNINGHAM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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