Active NPI
Ansaarie Cardiac & Endovascular Center of Excellence
- Cardiovascular Disease Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
- Practice address
- 1301 Plantation Island Dr S Ste 302a
St Augustine, FL 32080-3117 - Phone
- (386) 232-9203
- Fax
- (386) 222-3064
- NPI assigned
- Jun 16, 2020
- Organization subpart
- Yes
- Parent organization
- ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Imraan Ansaarie
- Title
- Owner
- Phone
- (386) 232-9203
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 | Primary |
Addresses
Primary practice location
1301 Plantation Island Dr S Ste 302a
St Augustine, FL 32080-3117
Mailing address
209 Pinehurst Pointe Dr
Saint Augustine, FL 32092-3703
Phone (386) 232-9203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME121178 | Other | GA | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Ansaarie Cardiac Endovascular Center of Excellence
- Part of
- Ansaarie Cardiac Endovascular Center of Excellence
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- East Palatka, FL
- NPI 1346791498
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Cardiovascular Disease Physician
- East Palatka, FL
- NPI 1346791498
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- East Palatka, FL
- NPI 1972714632
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592265600000",
"number": "1770108706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 PINEHURST POINTE DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320923703",
"telephone_number": "386-232-9203",
"fax_number": "386-222-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PLANTATION ISLAND DR S STE 302A",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320803117",
"telephone_number": "386-232-9203",
"fax_number": "386-222-3064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A",
"authorized_official_last_name": "ANSAARIE",
"authorized_official_first_name": "IMRAAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-232-9203"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME121178",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.