Organization Active NPI

Cardiovascular Diagnostic Care of New York P.C.

  • Specialist
  • Bronx, NY
National Provider Identifier
1053563759
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1225121 Issued in NY
Legal business name
CARDIOVASCULAR DIAGNOSTIC CARE OF NEW YORK P.C.
Practice address
423 E 138TH St
Bronx, NY 10454-3041
Phone
(718) 292-0100
Fax
(347) 591-3862
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Patty Restivo
Title
Director of Credentialing
Phone
(516) 794-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1225121 NY Primary

Addresses

Primary practice location

423 E 138TH St
Bronx, NY 10454-3041

Mailing address

248 Bayville Ave
P.O. Box 1357
Bayville, NY 11709-1616
Phone (516) 794-4161

National Provider Directory

National Provider Directory

Locations

54 Main St
Hempstead, NY 11550
Phone (516) 292-4105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1053563759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BAYVILLE AVE",
            "address_2": "P.O. BOX 1357",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117091616",
            "telephone_number": "516-794-4161",
            "fax_number": "516-794-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543041",
            "telephone_number": "718-292-0100",
            "fax_number": "347-591-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DIAGNOSTIC CARE OF NEW YORK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "516-794-4161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1225121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.