SHORE ROAD CARDIOLOGY ASSOCIATES, PC
NPI 1790791457
Internal Medicine - Cardiovascular Disease in Brooklyn, NY

NPI Status: Active since August 01, 2006

Contact Information

150 55TH ST
BROOKLYN, NY
ZIP 11220
Phone: (718) 630-7477
Fax: (718) 630-8515

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About SHORE ROAD CARDIOLOGY ASSOCIATES, PC

This page provides the complete NPI Profile along with additional information for Shore Road Cardiology Associates, Pc, an internist established in Brooklyn, New York operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1790791457 assigned on August 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 16885 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Gary Dellacerra V.p. (Vp Managed Care & Revenue Complianc)

NPI
1790791457
Provider Name
SHORE ROAD CARDIOLOGY ASSOCIATES, PC
Entity Type
Organization
Location Address
150 55TH ST BROOKLYN, NY 11220
Location Phone
(718) 630-7477
Location Fax
(718) 630-8515
Mailing Address
5800 3RD AVE LUTHERAN MEDICAL CENTER-MANAGED CARE DEPARTMENT BROOKLYN, NY 11220
Mailing Phone
(718) 630-7477
Mailing Fax
(718) 630-8515
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2006
Last Update Date
09-08-2008
Code Navigator

An internist like Shore Road Cardiology Associates, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
16885
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

16885 (NY)
2207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

16885 (NY)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GARY DELLACERRA V.P.

Authorized Official Title
VP MANAGED CARE & REVENUE COMPLIANC
Authorized Official Phone
(718) 630-7103

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00820939MEDICAID (05)NY 
W08931MEDICARE ID-TYPE UNSPECIFIED (04)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790791457
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801492410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 2 + 4 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1790791457 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558364281MRS. LESLIE BROWN-APTEKAR M.S., C.G.C
Individual
Genetic Counselor, MS150 55TH ST STE 5-04
BROOKLYN, NY 11220
(718) 630-8557
1952377962 ALEXANDER OSTROVSKY M.D.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1609842582 SHLOMIE GOLDBERG P.A.
Individual
Physician Assistant150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1821064932 MARIA ROWENA D MIRANDA NP
Individual
Nurse Practitioner150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1518934488 JONATHAN J. SILVERMAN M.D.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1174592661 SERGEY STROCHKOV M.D.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1629047832 BONNIE SIMMONS D.O.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1174592307 OSIAS B. DIAZ M.D.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1366404790 JEAN E. DORCE D.O.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1912953738 LAURA A. SPANO M.D.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1356397178 LISA J. LAZARO P.A.
Individual
Physician Assistant150 55TH ST
BROOKLYN, NY 11220
(718) 630-7185
1740218023DR. PETER JOSEPH MOLESKI D.O.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(716) 630-8263
1831127539 QUILLY T LEE M.D.
Individual
Pediatrics150 55TH ST SPFHC, PEDIATRICS
BROOKLYN, NY 11220
(718) 630-7499
1861427544 CHARLOTTE E. REICH M.D.
Individual
Emergency Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-7000
1275558470 XING PENG MD
Individual
Radiology (Diagnostic Radiology)150 55TH ST
BROOKLYN, NY 11220
(718) 630-7402
1306863089DR. IRINA MAKAREVICH M.D.
Individual
Internal Medicine150 55TH ST 3RD FL CALVARY HOSPITAL
BROOKLYN, NY 11220
(718) 630-6686
1255359030 TEODORICO M. ALCANTARA SR. MD
Individual
Internal Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-6847
1346256104LMC PHYSICIAN SERVICES, PC
Organization
Internal Medicine150 55TH ST
BROOKLYN, NY 11220
(718) 630-8445
1811903578SHORE ROAD RADIOLOGY ASSOCIATES, PC
Organization
Radiology (Diagnostic Radiology)150 55TH ST
BROOKLYN, NY 11220
(718) 630-7477
1811900780 MICHAEL LEIBOWITZ MD
Individual
Physical Medicine & Rehabilitation150 55TH ST
BROOKLYN, NY 11220
(718) 630-8456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790791457, enumerated in the NPI registry as an "organization" on August 01, 2006

The provider is located at 150 55th St Brooklyn, Ny 11220 and the phone number is (718) 630-7477

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.