Organization Active NPI

Leading Edge Cardiac PC

  • Cardiovascular Specialist/Technologist
  • Jamaica, NY
National Provider Identifier
1821976598
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
LEADING EDGE CARDIAC PC
Practice address
16215 Highland Ave
Jamaica, NY 11432-3452
Phone
(718) 297-8398
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Mr. Rajeev Srivastava, MDNPI 1598706368
Title
Owner
Phone
(718) 297-8398

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 Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X Primary

Addresses

Primary practice location

16215 Highland Ave
Jamaica, NY 11432-3452

Mailing address

16215 Highland Ave
Jamaica, NY 11432-3452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210002126 NY Part B Supplier - Clinic/Group Practice 3971097650 Receives reassigned benefits from 1 practitioner
Practice locations: Wappingers Falls, NY; Troy, NY; Suffern, NY; Spring Valley, NY; Poughkeepsie, NY; Port Jervis, NY; Mohegan Lake, NY; Middletown, NY…

National Provider Directory

National Provider Directory

Locations

10 Market St
Amsterdam, NY 12010
Phone (518) 896-0010

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": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1821976598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 HIGHLAND AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323452",
            "telephone_number": "718-297-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE CARDIAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-297-8398",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.