Organization Active NPI

Queens Cardiovascular PLLC

  • Medical Specialty Clinic/Center
  • Flushing, NY
National Provider Identifier
1346411808
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
235491 Issued in NY
Legal business name
QUEENS CARDIOVASCULAR PLLC
Practice address
4503 Kissena Blvd
Flushing, NY 11355-3429
Phone
(646) 494-7281
Fax
(877) 249-6926
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Vivien Lim, M.D.
Title
Cardiologist
Phone
(646) 494-7281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 235491 NY Primary

Addresses

Primary practice location

4503 Kissena Blvd
Flushing, NY 11355-3429

Mailing address

4503 Kissena Blvd
Flushing, NY 11355-3429
Phone (646) 494-7281

Other identifiers 2

IdentifierTypeStateIssuer
07123JOtherNYMEDICARE ID
02694879MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1346411808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553429",
            "telephone_number": "646-494-7281",
            "fax_number": "877-249-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553429",
            "telephone_number": "646-494-7281",
            "fax_number": "877-249-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS CARDIOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "646-494-7281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "235491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "07123J",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.