115 E 64TH Street Medical, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

115 E 64TH STREET MEDICAL, PLLC

Practice address

115 E 64TH St
New York, NY 10065-7071

Phone

(415) 999-3090

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By 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

Mr. Shahriyar Rahmati

Title

Cfo

Phone

(561) 313-9399

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Azadeh Beheshtian, MD

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1508136276
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1770208076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657071",
            "telephone_number": "415-999-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657071",
            "telephone_number": "415-999-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "115 E 64TH STREET MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A",
        "authorized_official_last_name": "RAHMATI",
        "authorized_official_first_name": "SHAHRIYAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-313-9399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nycheartandvein.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 E 64th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100657071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 10, 2022; 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.