Ny Cardiac & Vascular PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NY CARDIAC & VASCULAR PLLC

Doing business as

NY Cardiac & Vascular PLLC

Practice address

1112 South Ave Ste B
Staten Island, NY 10314-3410

Phone

(718) 761-8800

Fax

(718) 761-8804

NPI assigned

Nov 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Hussein Zgheib, MDNPI 1245442490

Title

MD

Phone

(718) 761-8800

Specialties & licenses 2

Addresses

Other names 1

• NY Cardiac & Vascular PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Hussein Zgheib, M.D.

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1245442490
  Medicare reassignment NPD Authorized official
• Christina A Decicco, FNP-C

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1194432450
  Medicare reassignment NPD
• Michael G Manolios, M.D.

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1700913076
  Medicare reassignment NPD

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1396141503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61507",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103067507",
            "telephone_number": "718-761-8800",
            "fax_number": "718-761-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SOUTH AVE STE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143410",
            "telephone_number": "718-761-8800",
            "fax_number": "718-761-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042311",
            "country_code": "US",
            "telephone_number": "718-761-8800",
            "fax_number": "718-761-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NY CARDIAC & VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ZGHEIB",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-761-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Cardiac & Vascular PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Staten Island, NY
• Providers in Staten Island, 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 Aug 27, 2024; 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.