Active NPI
Island Cardiovascular, PC
- Cardiovascular Disease Physician
- Staten Island, NY
National Provider Identifier
1174022552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ISLAND CARDIOVASCULAR, PC
- Practice address
- 1112 South Ave Ste B
Staten Island, NY 10314-3410 - Phone
- (718) 761-8800
- Fax
- (718) 761-8804
- NPI assigned
- Feb 12, 2018
- 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
- Mohammad Zgheib, MD
- Title
- MD
- Phone
- (718) 761-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1112 South Ave Ste B
Staten Island, NY 10314-3410
Mailing address
PO Box 219
New York, NY 10028-0016
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518393600000",
"number": "1174022552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 SOUTH AVE STE B",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143410",
"telephone_number": "718-761-8800",
"fax_number": "718-761-8804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND CARDIOVASCULAR, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A",
"authorized_official_last_name": "ZGHEIB",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-761-8800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.