Organization Active NPI

Metro Cardiovascular Imaging, PLLC

  • Specialist
  • New York, NY
National Provider Identifier
1851417877
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
184330-1 Issued in NY
Legal business name
METRO CARDIOVASCULAR IMAGING, PLLC
Practice address
330 W 58TH St
Suite 502
New York, NY 10019-1827
Phone
(212) 721-9818
Fax
(212) 721-9821
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Rudy Robert Rezzadeh, MD
Title
President
Phone
(212) 721-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 184330-1 NY Primary

Addresses

Primary practice location

330 W 58TH St
Suite 502
New York, NY 10019-1827

Mailing address

330 W 58TH St
Suite 502
New York, NY 10019-1827
Phone (212) 721-9818

National Provider Directory

National Provider Directory

Locations

60 W 68th St
Apt 1A
New York, NY 10023
Phone (212) 721-9818

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1851417877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "address_2": "SUITE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-721-9818",
            "fax_number": "212-721-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "address_2": "SUITE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-721-9818",
            "fax_number": "212-721-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CARDIOVASCULAR IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "REZZADEH",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-721-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "184330-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.