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 is a Cardiovascular Disease Physician 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
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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