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NY PREMIER CARDIOLOGY PC
NPI 1962710475
Internal Medicine - Cardiovascular Disease in Bayside, NY

Active since September 17, 2010
21012 NORTHERN BLVD, 1ST FLOOR, BAYSIDE, NY 11361(516) 466-7800(718) 229-3103 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ny Premier Cardiology Pc NPPES

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

NY PREMIER CARDIOLOGY PC (NPI 1962710475) is a healthcare organization registered as a cardiovascular disease in Bayside, New York and active in the NPI registry since September 2010. The organization lists Maureen Murray, Billing Representative, as its authorized official.

NPPES Registry Identity

NPI1962710475
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNY PREMIER CARDIOLOGY PC
Location Address21012 NORTHERN BLVD, 1ST FLOORBayside, NY 11361-3240
Mailing Address11 Drury LnGreat Neck, NY 11023-1309 · (631) 366-0390 · Fax (631) 366-0391
Phone(516) 466-7800
Fax(718) 229-3103
Organization SubpartNo
Authorized OfficialMaureen MurrayBilling Representative · (516) 466-7800
Enumeration DateSeptember 17, 2010
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1962710475 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 · 238940
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.
21012 NORTHERN BLVD, Bayside, NY 11361
Open in Google Maps ↗

Other Identifiers 1

Medicaid03296320NY

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)

Ny Premier 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 Ny Premier Cardiology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omid Kohani, MD
Cardiovascular Disease (Cardiology)
NPI 1619136181
21012 NORTHERN BLVD
Bayside, NY 11361
(718) 229-3100
✔ 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 Ny Premier Cardiology PC's NPI number?

The NPI number for Ny Premier Cardiology PC is 1962710475. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Ny Premier Cardiology PC located?

Ny Premier Cardiology PC is located at 21012 Northern Blvd 1st Floor, Bayside, NY 11361. The listed phone number is (516) 466-7800.

What is Ny Premier Cardiology PC's specialty?

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

Is Ny Premier Cardiology PC enrolled in Medicare?

Yes. Ny Premier Cardiology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ny Premier Cardiology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Ny Premier 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 Ny Premier Cardiology PC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.