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PREMIERE CARDIOLOGY PLLC
NPI 1184858151
Internal Medicine - Cardiovascular Disease in Bay Shore, NY

Active since May 06, 2009
1916 UNION BLVD, BAY SHORE, NY 11706(631) 666-2291(631) 666-2283 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, May 8, 2020 (2 updates tracked since 2020).

About Premiere Cardiology Pllc NPPES

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

PREMIERE CARDIOLOGY PLLC (NPI 1184858151) is a healthcare organization registered as a cardiovascular disease in Bay Shore, New York and active in the NPI registry since May 2009. The organization lists Laura Coudrey, President, as its authorized official.

NPPES Registry Identity

NPI1184858151
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePREMIERE CARDIOLOGY PLLC
Location Address1916 UNION BLVDBay Shore, NY 11706-7921
Mailing Address1916 Union BlvdBay Shore, NY 11706-7921 · (631) 666-2291 · Fax (631) 666-2283
Phone(631) 666-2291
Fax(631) 666-2283
Organization SubpartNo
Authorized OfficialLaura CoudreyPresident · (631) 666-2290
Enumeration DateMay 6, 2009
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1184858151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 200075
Definition
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.
1916 UNION BLVD, Bay Shore, NY 11706
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANAIRA J TUCKER FNP
Nurse Practitioner (Family)
1916 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (516) 928-9202
DR. LAURA LENNON M.D.
Internal Medicine (Cardiovascular Disease)
1916 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 666-2290
DR. GABRIEL MICHAEL WAGMAN M.D.
Internal Medicine (Cardiovascular Disease)
1916 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 666-2290

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 Premiere Cardiology PLLC's NPI number?

The NPI number for Premiere Cardiology PLLC is 1184858151. It was assigned to this organization in the NPPES registry on May 6, 2009.

Where is Premiere Cardiology PLLC located?

Premiere Cardiology PLLC is located at 1916 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 666-2291.

What is Premiere Cardiology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Premiere Cardiology PLLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.