Active NPI
Cardiocare PC
- Cardiovascular Disease Physician
- Rockaway Park, NY
National Provider Identifier
1457638702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 223734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zaza Aivazi, M.D.,
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1063408474
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.