Ny Cardio Care PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NY CARDIO CARE PLLC

Practice address

1112 South Ave
Staten Island, NY 10314

Phone

(718) 761-8800

Fax

(718) 761-8804

NPI assigned

Dec 16, 2012

Last updated

Mar 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad H Zgheib, MDNPI 1245442490

Title

Authorized Official

Phone

(718) 761-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Hussein Zgheib, M.D.

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1245442490
  Medicare reassignment NPD Authorized official
• Christina A Decicco, FNP-C

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1194432450
  NPD
• Michael G Manolios, M.D.

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1700913076
  NPD

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1073859203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-761-8800",
            "fax_number": "718-761-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-761-8800",
            "fax_number": "718-761-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Meisner Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103061236",
            "country_code": "US",
            "telephone_number": "718-761-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-761-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042311",
            "country_code": "US",
            "telephone_number": "718-524-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NY CARDIO CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "ZGHEIB",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-761-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.