Organization Active NPI

Ansaarie Cardiac & Endovascular Center of Excellence

  • Cardiovascular Disease Physician
  • St Augustine, FL
National Provider Identifier
1770108706
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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 EXCELLENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Imraan AnsaarieNPI 1972714632
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ME121178OtherGASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Ansaarie Cardiac Endovascular Center of Excellence2 organizations share this tax ID, including this one
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.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.