Organization Active NPI

Island Cardiovascular, PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1174022552
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Feb 12, 2018

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.