NPIMap

Organization Active NPI

Cardiovascular Imaging of Brooklyn, PC

Doing business as Ocean Parkway Nuclear Imaging

  • Nuclear Cardiology Physician
  • Brooklyn, NY
National Provider Identifier
1669543278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
CARDIOVASCULAR IMAGING OF BROOKLYN, PC
Doing business as
Ocean Parkway Nuclear Imaging
Practice address
1335 Ocean Pkwy
Brooklyn, NY 11230-5655
Phone
(718) 376-4566
Fax
(718) 376-8744
NPI assigned
Nov 13, 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
Jacqueline Mayer
Title
VP Managed Care & Credentialing
Phone
(631) 952-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X Primary

Addresses

Primary practice location

1335 Ocean Pkwy
Brooklyn, NY 11230-5655

Mailing address

PO Box 13055
Hauppauge, NY 11788-0541
Phone (718) 376-4566

Other names 1

  • Ocean Parkway Nuclear Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Imaging of Brooklyn PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669543278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13055",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880541",
            "telephone_number": "718-376-4566",
            "fax_number": "718-376-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305655",
            "telephone_number": "718-376-4566",
            "fax_number": "718-376-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING OF BROOKLYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP MANAGED CARE & CREDENTIALING",
        "authorized_official_telephone_number": "631-952-5717"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Parkway Nuclear Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.