NPIMap

Organization Active NPI

Prospect Heights Cardiology PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1124473004
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PROSPECT HEIGHTS CARDIOLOGY PLLC
Practice address
76 Belmont Ave
Brooklyn, NY 11212-6719
Phone
(718) 395-6444
Fax
(718) 676-9557
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Ijaz AhmadNPI 1902895238
Title
Owner
Phone
(718) 789-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

76 Belmont Ave
Brooklyn, NY 11212-6719

Mailing address

70 Old Westbury Rd
Old Westbury, NY 11568-1611
Phone (718) 395-6444

Other practice location 1

47 Plaza St W
1B
Brooklyn, NY 11217-3905
Phone (718) 789-4332

Other practice location 2

979 Fulton St
Brooklyn, NY 11238-2346
Phone (718) 857-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160825001957 NY Part B Supplier - Clinic/Group Practice 3678868973 Receives reassigned benefits from 11 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1124473004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 OLD WESTBURY RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681611",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126719",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Plaza St W",
            "address_2": "1B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173905",
            "country_code": "US",
            "telephone_number": "718-789-4332",
            "fax_number": "718-857-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382346",
            "country_code": "US",
            "telephone_number": "718-857-1200",
            "fax_number": "718-857-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROSPECT HEIGHTS CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-789-4333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.