Ny Cardiovascular Diagnostic, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

200721-1 Issued in NY

Legal business name

NY CARDIOVASCULAR DIAGNOSTIC, PC

Practice address

8708 Justice Ave
Suite 1a
Elmhurst, NY 11373-4575

Phone

(718) 672-0246

Fax

(718) 672-6401

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Debasish Roychoudhury, MDNPI 1063426013

Title

Owner

Phone

(718) 672-0246

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debasish Roychoudhury, MD

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1063426013
  NPD (past) Authorized official

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1861705378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE",
            "address_2": "SUITE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734575",
            "telephone_number": "718-672-0246",
            "fax_number": "718-672-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE",
            "address_2": "SUITE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734575",
            "telephone_number": "718-672-0246",
            "fax_number": "718-672-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY CARDIOVASCULAR DIAGNOSTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "ROYCHOUDHURY",
        "authorized_official_first_name": "DEBASISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-672-0246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "200721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Elmhurst, NY
• Providers in Elmhurst, 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 Jul 26, 2010; 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.