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PEDIATRIC CARDIOLOGY OF LI
NPI 1003883653
Pediatrics - Pediatric Cardiology in Roslyn, NY

Active since March 02, 2006
100 PORT WASHINGTON BLVD, SUITE 108, ROSLYN, NY 11576(516) 365-3340(516) 365-5512 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pediatric Cardiology Of Li NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC CARDIOLOGY OF LI (NPI 1003883653) is a healthcare organization registered as a pediatric cardiology in Roslyn, New York and active in the NPI registry since March 2006. The organization lists Ambrose M. Vallone, Partner, as its authorized official.

NPPES Registry Identity

NPI1003883653
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIC CARDIOLOGY OF LI PC
Location Address100 PORT WASHINGTON BLVD, SUITE 108Roslyn, NY 11576-1347
Mailing Address100 Port Washington Blvd, Suite 108Roslyn, NY 11576-1347 · (516) 365-3340 · Fax (516) 365-5512
Phone(516) 365-3340
Fax(516) 365-5512
Organization SubpartNo
Authorized OfficialAmbrose M. VallonePartner · (516) 365-3340
Enumeration DateMarch 2, 2006
Last NPPES UpdateMarch 25, 2013
✔ NPI 1003883653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 175239
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
100 PORT WASHINGTON BLVD, Roslyn, NY 11576
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Other Names 1

Other NamePediatric Cardiology Of Li

Other Identifiers 2

Other175239NY · License
Medicare UPINC22899NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Cardiology Of Li is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pediatric Cardiology Of Li, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Douglas Luxenberg, D.O.
Cardiovascular Disease (Cardiology)
NPI 1255343281
100 PT WASHINGTON BLVD
Roslyn, NY 11576
(516) 365-3340
✔ PECOS✔ Accepts MedicareSame address
Sean Levchuck, MD
Cardiovascular Disease (Cardiology)
NPI 1134188352
100 PORT WASHINGTON BLVD SUITE 108
Roslyn, NY 11576
(516) 365-3340
✔ PECOS✔ Accepts MedicareSame address
Ambrose Vallone, MD
Cardiovascular Disease (Cardiology)
NPI 1750340444
100 PORT WASHINGTON BLVD SUITE 108
Roslyn, NY 11576
(516) 365-3340
✔ PECOS✔ Accepts MedicareSame address
Ann Margaret Santa-Ines, M.D.
Pediatric Medicine
NPI 1437550340
100 PORT WASHINGTON BLVD
Roslyn, NY 11576
(516) 365-3340
✔ PECOS0.1 mi
Namrita Mozumdar, M.D.
Pediatric Medicine
NPI 1114330735
26901 76TH AVE
New Hyde Park, NY 11040
(833) 462-6436
✔ PECOS✔ Accepts Medicare4.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Cardiology Of Li PC's NPI number?

The NPI number for Pediatric Cardiology Of Li PC is 1003883653. It was assigned to this organization in the NPPES registry on March 2, 2006. The provider is also known as Pediatric Cardiology Of Li.

Where is Pediatric Cardiology Of Li PC located?

Pediatric Cardiology Of Li PC is located at 100 Port Washington Blvd Suite 108, Roslyn, NY 11576. The listed phone number is (516) 365-3340.

What is Pediatric Cardiology Of Li PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Pediatric Cardiology Of Li PC enrolled in Medicare?

Yes. Pediatric Cardiology Of Li PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Cardiology Of Li PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pediatric Cardiology Of Li PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (3) and Pediatric Medicine (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Cardiology Of Li PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Cardiology Of Li PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Cardiology Of Li PC was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.