Cardiovascular Imaging PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

259363-1 Issued in NY

Legal business name

CARDIOVASCULAR IMAGING PC

Practice address

3520 90TH St
Jackson Heights, NY 11372-5855

Phone

(718) 267-0510

Fax

(718) 267-8196

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By 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

Dr. Tarek Mohamed Mousa, M.D

Title

Owner

Phone

(718) 267-0510

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Wai Lap Leung, M.D.

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1891720058
  NPD (past)
• Irene Audrey Schulman, MD

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1447293865
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1841602323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725855",
            "telephone_number": "718-267-0510",
            "fax_number": "718-267-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725855",
            "telephone_number": "718-267-0510",
            "fax_number": "718-267-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-267-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "259363-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Capili, LCSW
• Captor USA, Inc.
• Melissa Carbone, MS, LMHC
• Regina Cardenas Brown, BA
• Betsy Cardenas
• Stephanie Carter-Robin, D.P.M.
• Miriam Norma Casal, M.D
• Mariano Casanova, LMHC
• Victoria Caserta
• Lisa M Cassanelli

• Cardiovascular Disease Physician in Jackson Heights, NY
• Providers in Jackson Heights, 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 Jun 2, 2014; 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.