NPIMap

Organization Active NPI

Vascular Imaging, PC

  • Cardiovascular Disease Physician
  • Jamaica, NY
National Provider Identifier
1174802516
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VASCULAR IMAGING, PC
Practice address
162-15 Highland Ave
Apt 1a
Jamaica, NY 11432
Phone
(718) 297-8398
Fax
(718) 297-0063
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Rajeev Srivastava, MDNPI 1598706368
Title
President
Phone
(718) 297-8398

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

162-15 Highland Ave
Apt 1a
Jamaica, NY 11432

Mailing address

1600 Deer Park Ave
Suite a
Deer Park, NY 11729-5208
Phone (888) 848-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211110000385 NY Part B Supplier - Clinic/Group Practice 2062801293 Receives reassigned benefits from 11 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1600 Deer Park Ave
Ste A
Deer Park, NY 11729

4250 Vets Hwy
Ste 155E
Holbrook, NY 11741

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": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1174802516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DEER PARK AVE",
            "address_2": "SUITE A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295208",
            "telephone_number": "888-848-2060",
            "fax_number": "888-848-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162-15 HIGHLAND AVE",
            "address_2": "APT 1A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-297-8398",
            "fax_number": "718-297-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-297-8398",
        "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 Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.