Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shore Road Cardiology Associates, PC

Organization Cardiovascular Disease Physician · NPI 1790791457

Shore Road Cardiology Associates, PC provides Cardiovascular Disease Physician services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2559 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 630-7477
Fax: (718) 630-8515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 16885 (NY)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 16885 (NY)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 16885 (NY)

Record details

NPI number1790791457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Dellacerra — Vp Managed Care & Revenue Complianc · (718) 630-7103
NPI enumeratedAugust 1, 2006
Last updated in NPPESSeptember 8, 2008
Mailing address5800 3rd Ave, Lutheran Medical Center-Managed Care Department, Brooklyn, NY 11220-3702

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