Organization Active NPI

Cardiovascular Consultants of Staten Island PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1811939507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CONSULTANTS OF STATEN ISLAND PC
Practice address
11 Ralph PL
Suite 109
Staten Island, NY 10304-4419
Phone
(718) 981-2864
Fax
(718) 981-5003
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Millie Persichetty
Title
Administrative Assisantant
Phone
(718) 981-2864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X NY Primary

Addresses

Primary practice location

11 Ralph PL
Suite 109
Staten Island, NY 10304-4419

Mailing address

11 Ralph PL
Suite 109
Staten Island, NY 10304-4419
Phone (718) 981-2864

National Provider Directory

National Provider Directory

Locations

11 Ralph Pl
Ste 109
Staten Island, NY 10304
Phone (718) 981-0370

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811939507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 109",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-981-2864",
            "fax_number": "718-981-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 109",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-981-2864",
            "fax_number": "718-981-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF STATEN ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSICHETTY",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISANTANT",
        "authorized_official_telephone_number": "718-981-2864",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.