New York Cardiovascular Medical Imaging PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

174875 Issued in NY

Legal business name

NEW YORK CARDIOVASCULAR MEDICAL IMAGING PC

Practice address

2109 Broadway Ste 15-104
New York, NY 10023-2138

Phone

(718) 645-1118

Fax

(718) 645-1148

NPI assigned

Oct 4, 2013

Last updated

Oct 4, 2013By 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

Mrs. Anna Zak

Title

Administrator

Phone

(718) 645-1118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1760819783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 BROADWAY STE 15-104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "718-645-1118",
            "fax_number": "718-645-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 BROADWAY STE 15-104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232138",
            "telephone_number": "718-645-1118",
            "fax_number": "718-645-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CARDIOVASCULAR MEDICAL IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-645-1118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "174875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.