Individual provider Active NPI

Mayer Rydzinski, MD

  • Cardiovascular Disease Physician
  • Kew Gardens, NY
National Provider Identifier
1578639373
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
131957 Issued in NY
Practice address
8002 Kew Gardens Rd
Suite 323
Kew Gardens, NY 11415-3600
Phone
(718) 268-6300
NPI assigned
Nov 27, 2006
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 131957 NY Primary

Addresses

Primary practice location

8002 Kew Gardens Rd
Suite 323
Kew Gardens, NY 11415-3600

Mailing address

200 Old Country Rd
Suite 278
Mineola, NY 11501-4235
Phone (516) 877-0977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001123 NY Practitioner - Cardiovascular Disease (Cardiology) 6608830518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Portable X-Ray Inc CurrentSince Jan 1, 2007 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Sep 1, 2016 Accepting new patients
Gramercy Cardiac Diagnostic Services, P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
The Parkway Hospital Past Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. Cardiovascular Disease Past Accepting new patients
Gramercy Cardiac Diagnostic SVCS, P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic Services, P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic Services, P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiac Diagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients
Gramercy Cardiacdiagnostic SVCS P.C. PastSince Jan 1, 1990 Accepting new patients

Locations

8002 Kew Gardens Rd
Ste 323
Kew Gardens, NY 11415
Phone (718) 268-6300

200 Old Country Rd
Ste 278
Mineola, NY 11501
Phone (516) 877-0977

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1578639373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "address_2": "SUITE 278",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-877-0977",
            "fax_number": "516-294-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD",
            "address_2": "SUITE 323",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153600",
            "telephone_number": "718-268-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDZINSKI",
        "first_name": "MAYER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "131957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.