Organization Active NPI

New York Cardiovascular Care and Preventive Interventions PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1588040752
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
212389 Issued in NY
Legal business name
NEW YORK CARDIOVASCULAR CARE AND PREVENTIVE INTERVENTIONS PLLC
Practice address
240 Willoughby St
Suite 10F
Brooklyn, NY 11201-5465
Phone
(718) 783-7001
Fax
(718) 783-7091
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Carlos Rodriguez, M.D
Title
Sole Proprieter
Phone
(718) 614-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 212389 NY Primary

Addresses

Primary practice location

240 Willoughby St
Suite 10F
Brooklyn, NY 11201-5465

Mailing address

PO Box 26003
Brooklyn, NY 11202-6003
Phone (718) 783-7001

National Provider Directory

National Provider Directory

Locations

122 Saint Nicholas Ave
Brooklyn, NY 11237
Phone (718) 418-0700

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1588040752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26003",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112026003",
            "telephone_number": "718-783-7001",
            "fax_number": "718-783-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 10F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-783-7001",
            "fax_number": "718-783-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CARDIOVASCULAR CARE AND PREVENTIVE INTERVENTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-614-9297",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "212389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.