Complete Heart and Vascular Care PC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

COMPLETE HEART AND VASCULAR CARE PC

Practice address

2051 Flatbush Ave
Brooklyn, NY 11234-3523

Phone

(917) 300-2728

Fax

(917) 300-2785

NPI assigned

May 24, 2021

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ankur Shah, MDNPI 1144411745

Title

Ceo

Phone

(412) 491-7611

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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.

• Ankur Raju Shah, M.D.

  • Interventional Cardiology Physician
  • Ozone Park, NY
  • NPI 1144411745

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Alexander Casillas Gonzalez, MD

  • Interventional Cardiology Physician
  • Brooklyn, NY
  • NPI 1194220277
  Medicare reassignment Care Compare group NPD
• Valeriya Kovbas, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1669735171
  Medicare reassignment NPD
• David Fox, MD

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1184762718
  Medicare reassignment
• Moonyang Kim, MD

  • Pediatrics Physician
  • Ozone Park, NY
  • NPI 1992882609
  NPD (past)
• Parmeshwar Jagdeo Mahabir, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1932247046
  NPD (past)
• Sharad N Soni, M.D.

  • Internal Medicine Physician
  • Ozone Park, NY
  • NPI 1295701357
  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1679148464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILLOW ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011334",
            "telephone_number": "917-300-2728",
            "fax_number": "917-300-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343523",
            "telephone_number": "917-300-2728",
            "fax_number": "917-300-2785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10012 101st Ave",
            "address_purpose": "LOCATION",
            "city": "Ozone Park",
            "state": "NY",
            "postal_code": "114162609",
            "country_code": "US",
            "telephone_number": "917-300-2728",
            "fax_number": "917-300-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE HEART AND VASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-491-7611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "258269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Complete Medical Services of Ny, PC
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• Complete Ortho Supply Inc.

• Interventional Cardiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Interventional Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.