Organization Active NPI

Citicardiaccare P.C.

  • Cardiovascular Disease Physician
  • Jamaica, NY
National Provider Identifier
1467545509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
216842 Issued in NY
Legal business name
CITICARDIACCARE P.C.
Practice address
8002 165TH St
Jamaica, NY 11432-1208
Phone
(718) 380-7000
Fax
(718) 380-7313
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Radha K Voleti, M.D.,NPI 1457390379
Title
President
Phone
(718) 380-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 216842 NY Primary

Addresses

Primary practice location

8002 165TH St
Jamaica, NY 11432-1208

Mailing address

8002 165TH St
Jamaica, NY 11432-1208
Phone (718) 380-7000

Other identifiers 1

IdentifierTypeStateIssuer
02439623MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Plainfield Ave
Elmont, NY 11003
Phone (516) 326-7772

9525 Queens Blvd
Frnt 5
Rego Park, NY 11374
Phone (718) 575-9595

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467545509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321208",
            "telephone_number": "718-380-7000",
            "fax_number": "718-380-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321208",
            "telephone_number": "718-380-7000",
            "fax_number": "718-380-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITICARDIACCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLETI",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-380-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "216842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02439623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.