Organization Active NPI

Cardinal Ny Corporation

  • Internal Medicine Physician
  • Rockaway BCH, NY
National Provider Identifier
1235917691
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARDINAL NY CORPORATION
Practice address
8808 Rockaway Beach Blvd Unit 209
Rockaway BCH, NY 11693-1608
Phone
(917) 254-0600
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Mr. Archil Arjevanidze
Title
Director
Phone
(347) 220-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8808 Rockaway Beach Blvd Unit 209
Rockaway BCH, NY 11693-1608

Mailing address

8808 Rockaway Beach Blvd Unit 209
Rockaway BCH, NY 11693-1608

National Provider Directory

National Provider Directory

Locations

8808 Rockaway Beach Blvd
Unit 209
Rockaway Beach, NY 11693
Phone (917) 254-0600

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1235917691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 ROCKAWAY BEACH BLVD UNIT 209",
            "city": "ROCKAWAY BCH",
            "state": "NY",
            "postal_code": "116931608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 ROCKAWAY BEACH BLVD UNIT 209",
            "city": "ROCKAWAY BCH",
            "state": "NY",
            "postal_code": "116931608",
            "telephone_number": "917-254-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL NY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "ARJEVANIDZE",
        "authorized_official_first_name": "ARCHIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-220-1152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway BCH, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.