Organization Active NPI

Nys Cardiovascular Services PC

  • Interventional Cardiology Physician
  • Floral Park, NY
National Provider Identifier
1316476229
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
259223 Issued in NY
Legal business name
NYS CARDIOVASCULAR SERVICES PC
Practice address
26701 Hillside Ave
Nys Cardiovascular Services PC
Floral Park, NY 11004
Phone
(718) 343-7790
Fax
(718) 343-7792
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Dr. Syed Shah H Qadri, MDNPI 1104040369
Title
Owner
Phone
(917) 254-7368

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 259223 NY Primary

Addresses

Primary practice location

26701 Hillside Ave
Nys Cardiovascular Services PC
Floral Park, NY 11004

Mailing address

267-01 Hillside
Nys Cardiovascular Services PC
Floral Park, NY 11004
Phone (718) 343-7790

Other identifiers 1

IdentifierTypeStateIssuer
03415625MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030001261 NY Part B Supplier - Clinic/Group Practice 5597031914 Receives reassigned benefits from 1 practitioner
Practice locations: Floral Park, NY; Franklin Square, NY; Jackson Heights, NY; Jamaica, NY; New York, NY; South Richmond Hill, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1316476229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267-01 HILLSIDE",
            "address_2": "NYS CARDIOVASCULAR SERVICES PC",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-343-7790",
            "fax_number": "718-343-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26701 HILLSIDE AVE",
            "address_2": "NYS CARDIOVASCULAR SERVICES PC",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-343-7790",
            "fax_number": "718-343-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS CARDIOVASCULAR SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "QADRI",
        "authorized_official_first_name": "SYED SHAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-254-7368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "259223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03415625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.