Individual provider Active NPI

John Edward Strobeck, MD, PHD

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1215936299
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1306831 Issued in NY
Practice address
2052 Richmond Rd Ste B
Staten Island, NY 10306-2583
Phone
(718) 374-5223
Fax
(855) 420-5931
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1306831 NY Primary

Addresses

Primary practice location

2052 Richmond Rd Ste B
Staten Island, NY 10306-2583

Mailing address

2052 Richmond Rd Ste B
Staten Island, NY 10306-2583
Phone (718) 374-5223

Other identifiers 1

IdentifierTypeStateIssuer
130683-1OtherNYNY STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000127 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446142798 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultrasonics Diagnostics LLCGroup PAC ID 3375837966, 2 clinicians

Practice addresses (Care Compare)

7309 Myrtle Ave
FL 1
Glendale, NY 11385-7413
Phone (718) 497-1429

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1306831NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JS River Medical PC Cardiovascular Disease Current Accepting new patients
Ultrasonics Diagnostics LLC CurrentSince Aug 15, 2025 Accepting new patients
Vital Medical Diagnostics,PC PastSince May 1, 2015 Accepting new patients
Wiw Medical Associates PC PastSince Jan 12, 2010 Accepting new patients
Ridgewood Cardiology Associates Cardiovascular Disease Past Accepting new patients
Yonkers Medical Diagnostic,PC Past Accepting new patients

Locations

7309 Myrtle Ave
Fl 1
Glendale, NY 11385
Phone (718) 497-1429

2052 Richmond Rd
Ste B
Staten Island, NY 10306
Phone (201) 888-7877

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12931/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1215936299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD STE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "718-374-5223",
            "fax_number": "855-420-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD STE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "718-374-5223",
            "fax_number": "855-420-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBECK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1306831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE MEDICAL LICENSE",
            "identifier": "130683-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.