Active NPI
Cardiac Community Care
- Specialist
- Bronx, NY
National Provider Identifier
1124232202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 195483
- Legal business name
- CARDIAC COMMUNITY CARE
- Practice address
- 2475 Saint Raymonds Ave
4TH Floor
Bronx, NY 10461-3124 - Phone
- (718) 239-5877
- Fax
- (718) 239-6957
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hal N. Klestzick, D.O.
- Title
- Supervisor
- Phone
- (718) 239-5877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 195483 | NY | Primary |
Addresses
Primary practice location
2475 Saint Raymonds Ave
4TH Floor
Bronx, NY 10461-3124
Mailing address
2475 Saint Raymonds Ave
4TH Floor
Bronx, NY 10461-3124
Phone (718) 239-5877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01971168 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2475 Saint Raymonds Ave
Fl 4
Bronx, NY 10461
Phone (718) 239-5877
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Bronx, NY
- NPI 1871665976
-
- Cardiovascular Disease Physician
- Bronx, NY
- NPI 1720089006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124232202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 SAINT RAYMONDS AVE",
"address_2": "4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104613124",
"telephone_number": "718-239-5877",
"fax_number": "718-239-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 SAINT RAYMONDS AVE",
"address_2": "4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104613124",
"telephone_number": "718-239-5877",
"fax_number": "718-239-6957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC COMMUNITY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLESTZICK",
"authorized_official_first_name": "HAL",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "718-239-5877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "195483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01971168",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Cristina M Cardenas Rojas, MD
- Leticia Cardenas-Simmons
- Ana Theresa Alcoba Cardenas, PT
- Cardiac Care and Vascular Medicine PLLC
- Cardiac Care of Ny
- Marie-Joane Cardin, PSYD
- Cardinal McCloskey School & Home for Children, Inc.
- Cardinal McCloskey School and Home for Children
- Danielle Cardinali
- Joanne Cardinali
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.