Active NPI
New York Cardiovascular Medicine PLLC
- Cardiovascular Disease Physician
- Rego Park, NY
National Provider Identifier
1700914033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 216625
- Legal business name
- NEW YORK CARDIOVASCULAR MEDICINE PLLC
- Practice address
- 65-36 99TH Street
Rego Park, NY 11374 - Phone
- (718) 459-0700
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dima Teitelman, MD
- Title
- Managing Member
- Phone
- (917) 579-2343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 216625 | NY | Primary |
Addresses
Primary practice location
65-36 99TH Street
Rego Park, NY 11374
Mailing address
6536 99TH St
Rego Park, NY 11374-4358
Phone (718) 459-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Forest Hills, NY
- NPI 1548285497
-
- Diagnostic Radiology Physician
- Chappaqua, NY
- NPI 1255449229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554249600000",
"number": "1700914033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6536 99TH ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744358",
"telephone_number": "718-459-0700",
"fax_number": "718-459-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-36 99TH STREET",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-459-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK CARDIOVASCULAR MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2019-04-03",
"status": "A",
"authorized_official_last_name": "TEITELMAN",
"authorized_official_first_name": "DIMA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "917-579-2343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "216625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
- Netrx Inc
- Neuroaxis Neurosurgical Assoc P.C.
- Neurology Group, PLLC
- New Hope Medical PC
- New Life Chiropractic
- New York Innovative Medical PLLC
- New York Medical United PLLC
- New York Physical Therapy Rehabilitation Services P. C.
- New York Physical Therapy Rehabilitation Services PC
- New York Physical Therapy Touch PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.