Cardiovascular Wellness Medical

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

244792 Issued in NY

Legal business name

CARDIOVASCULAR WELLNESS MEDICAL

Practice address

2606 Haring St FL 2
Brooklyn, NY 11235-1606

Phone

(718) 645-6434

Fax

(718) 360-2279

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Nina Mirsakov, D.O.NPI 1134326887

Title

Owner

Phone

(917) 538-4132

Specialties & licenses 1

Addresses

Tax ID family

Cardiovascular Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cardiovascular Wellness Medical Services PLLC

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1568830834
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIBDCA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nina Mirsakov, D.O.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1134326887
  NPD Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1265862486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HARING ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351606",
            "telephone_number": "718-645-6434",
            "fax_number": "718-360-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HARING ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351606",
            "telephone_number": "718-645-6434",
            "fax_number": "718-360-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR WELLNESS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "MIRSAKOV",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-538-4132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "244792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiology Services Group, LLP
• Cardiology Services, PC
• Cardiothoracic Surgical Associates
• Cardiovascular Associates of Brooklyn
• Cardiovascular Imaging of Brooklyn, PC (Ocean Parkway Nuclear Imaging)
• Zaccary Cardito, DDS
• Mikala Ruth Cardo, BCBA
• Gabriella Cardona-Morales, PH.D.
• Alvaro Dario Cardona
• Brian Cardona

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.