Organization Active NPI

Cardiocare PC

  • Cardiovascular Disease Physician
  • Rockaway Park, NY
National Provider Identifier
1457638702
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
223734 Issued in NY
Legal business name
CARDIOCARE PC
Practice address
128 Beach 115TH St
Rockaway Park, NY 11694-2408
Phone
(718) 474-6400
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Zaza Aivazi, M.D.,NPI 1063408474
Title
President
Phone
(718) 440-6161

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 223734 NY Primary

Addresses

Primary practice location

128 Beach 115TH St
Rockaway Park, NY 11694-2408

Mailing address

777 Addison St
Woodmere, NY 11598-2937
Phone (718) 440-6161

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": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1457638702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ADDISON ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982937",
            "telephone_number": "718-440-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BEACH 115TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942408",
            "telephone_number": "718-474-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "AIVAZI",
        "authorized_official_first_name": "ZAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-440-6161",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "223734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.