GRAND CORNELL CARDIOLOGY PC
NPI 1043483274
Specialist in New York, NY

Active since April 09, 2008
217 GRAND ST FL 9, NEW YORK, NY 10013(212) 233-8813(212) 267-3303 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grand Cornell Cardiology Pc NPPES

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

GRAND CORNELL CARDIOLOGY PC (NPI 1043483274) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since April 2008. The organization lists Kenneth C. Tam, President, as its authorized official.

NPPES Registry Identity

NPI1043483274
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRAND CORNELL CARDIOLOGY PC
Location Address217 GRAND ST FL 9New York, NY 10013-4223
Mailing Address217 Grand St Fl 9New York, NY 10013-4223 · (212) 233-8813 · Fax (212) 267-3303
Fax(212) 267-3303
Organization SubpartNo
Authorized OfficialKenneth C. TamPresident · (212) 233-8813
Enumeration DateApril 9, 2008
Last NPPES UpdateAugust 3, 2012
✔ NPI 1043483274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 173277
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
217 GRAND ST FL 9, New York, NY 10013

Other Identifiers 3

Medicare PINWWR321NY
Medicare UPINE95835NY
Medicaid03109868NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Cornell Cardiology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grand Cornell Cardiology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1467482703
217 GRAND ST FL 9
New York, NY 10013
(212) 233-8813
✔ PECOS✔ Accepts MedicareSame address

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 Grand Cornell Cardiology PC's NPI number?

The NPI number for Grand Cornell Cardiology PC is 1043483274. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Grand Cornell Cardiology PC located?

Grand Cornell Cardiology PC is located at 217 Grand St Fl 9, New York, NY 10013. The listed phone number is (212) 233-8813.

What is Grand Cornell Cardiology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Grand Cornell Cardiology PC enrolled in Medicare?

Yes. Grand Cornell Cardiology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Cornell Cardiology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Grand Cornell Cardiology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grand Cornell Cardiology PC was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.