COMPLETECARE CARDIOLOGY PLLC (NPI# 1164530309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164530309 |
| Entity Type | Organization |
| Organization Name | COMPLETECARE CARDIOLOGY PLLC |
| Practice Address |
2001 Marcus Ave Suite W285 Lake Success NY 11042 |
| Practice Telephone | 5167750055 |
| Practice Fax Number | 5167754647 |
| Mailing Telephone | 5167750055 |
| Mailing Fax Number | 5167754647 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | DR. RANDY PAUL KIEWE (PRESIDENT/ CEO) |
| Authorized Official Telephone | 5167750055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BLUE CROSS BLUE SHIELD | 349AX | 01 |
| Street Address |
2001 MARCUS AVE SUITE W285 |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520621 | Michael M Ziegelbaum | Urology | 2001 Marcus Ave, Suite N-214, Lake Success, NY 11042-1011 | 2005-06-30 |
| 1326311820 | Allergy and Asthma Care of Nassau and Suffolk, Pllc | Allergy & Immunology | 2001 Marcus Ave, Suite N220, Lake Success, NY 11042 | 2012-02-14 |
| 1689817439 | Ameeta Ahuja Walia | Internal Medicine | 2001 Marcus Ave, Suite N 210, Lake Success, NY 11042-2061 | 2009-04-09 |
| 1366651846 | Stacie K Castle | Dietitian, Registered | 2001 Marcus Ave, Suite N220, Lake Success, NY 11042 | 2007-05-22 |
| 1083762751 | Karen M Kostroff | Surgery | 2001 Marcus Ave, Suite W270, Lake Success, NY 11042 | 2007-01-08 |
| 1003978669 | Mimi G Bansal, Md | Dermatology | 2001 Marcus Ave, Suite N218, Lake Success, NY 11042 | 2006-12-13 |
| 1811085988 | Frank A. Tomao, Md,john S.marino,md,brian T.mcnelis,md,pc | Internal Medicine | 2001 Marcus Ave, Suite S265, Lake Success, NY 11042-1035 | 2006-10-11 |
| 1255426862 | Gail Phillips | Radiology | 2001 Marcus Ave, Lake Success, NY 11042 | 2006-10-03 |
| 1285728709 | Sheila Kumari-subaiya | Radiology | 2001 Marcus Ave, Lake Success, NY 11042 | 2006-10-02 |
| 1528076528 | New York Spine Specialists LLP | Orthopaedic Surgery | 2001 Marcus Ave, Ste 170 West New York Spine Specialists LLP, Lake Success, NY 11042-1035 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| 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 |
|---|---|---|---|---|
| 1265476261 | Kenneth H Cohen | Internal Medicine | 1983 Marcus Avenue, Suite E 124, Lake Success, NY 11042-1029 | 2006-06-16 |
| 1194784249 | Barton E Cohen | Internal Medicine | One Hollow Lane, Suite 312, Lake Success, NY 11042 | 2006-03-18 |
| 1194728063 | John J Santucci | Internal Medicine | 1999 Marcus Ave, Suite 110, Lake Success, NY 11042-1017 | 2005-05-24 |
| 1598105793 | Cardiovascular Wellness Specialty Care PC | Internal Medicine | 2001 Marcus Avenue, Suite N210, Lake Success, NY 11042-1035 | 2013-07-02 |
| 1689817439 | Ameeta Ahuja Walia | Internal Medicine | 2001 Marcus Ave, Suite N 210, Lake Success, NY 11042-2061 | 2009-04-09 |
| 1396773362 | Henry Gomez | Internal Medicine | 1983 Marcus Ave, Suite E 124, Lake Success, NY 11042 | 2006-06-29 |
| 1922036383 | Marie Roethel | Internal Medicine | 2 Pro Health Plz, Lake Success, NY 11042-1111 | 2006-06-28 |
| 1841235272 | Louis Gleckel | Internal Medicine | 2 Pro Health Plz, Lake Success, NY 11042-1111 | 2006-06-19 |
| 1912942921 | Perry Arnold Frankel | Internal Medicine | 410 Lakeville Rd, Lake Success, NY 11042 | 2006-06-17 |
| 1831134865 | Ronald D D'agostino | Internal Medicine | 1983 Marcus Ave, Suite E 124, Lake Success, NY 11042 | 2006-06-16 |
| Find all providers in LAKE SUCCESS | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on COMPLETECARE CARDIOLOGY PLLC.
| 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.