Active NPI
John Edward Strobeck, MD, PHD
- Cardiovascular Disease Physician
- Staten Island, NY
National Provider Identifier
1215936299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 1306831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130683-1 | Other | NY | NY 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Cincinnati College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7309 Myrtle Ave
FL 1
Glendale, NY 11385-7413
Phone (718) 497-1429
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1306831 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JS River Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| Ultrasonics Diagnostics LLC | Current | Accepting new patients | |
| Vital Medical Diagnostics,PC | Past | Accepting new patients | |
| Wiw Medical Associates PC | Past | 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
- 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.
-
- Physiological Laboratory
- Glendale, NY
- NPI 1215391883
-
- Physical Medicine & Rehabilitation Physician
- Staten Island, NY
- NPI 1811767650
Cardiovascular Disease
-
- Internal Medicine Physician
- Hawthorne, NJ
- NPI 1245561232
-
- Multi-Specialty Clinic/Center
- Yonkers, NY
- NPI 1144607995
-
- Multi-Specialty Clinic/Center
- Yonkers, NY
- NPI 1679670806
-
- Cardiovascular Disease Physician
- Midland Park, NJ
- NPI 1053481788
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.