Active NPI
On-Site Medical PC
- Cardiovascular Disease Physician
- Astoria, NY
National Provider Identifier
1932459005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ON-SITE MEDICAL PC
- Practice address
- 29-28 Ditmars Boulevard
Astoria, NY 11105-2731 - Phone
- (718) 907-1091
- NPI assigned
- Sep 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajeev D Srivastava, MD
- Title
- Owner
- Phone
- (718) 907-1091
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
29-28 Ditmars Boulevard
Astoria, NY 11105-2731
Mailing address
162-15 Highland Avenue
Suite 1a
Jamaica, NY 11432
Phone (718) 907-1091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03538290 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3206 Astoria Blvd
Astoria, NY 11102
Phone (718) 545-1620
2928 Ditmars Blvd
Astoria, NY 11105
Phone (718) 278-7376
1140 40th St
Brooklyn, NY 11218
Phone (718) 436-0440
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Astoria, NY
- NPI 1578586533
-
- Adult Health Nurse Practitioner
- Astoria, NY
- NPI 1962917559
-
- Specialist
- Brooklyn, NY
- NPI 1124004460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368144000000",
"number": "1932459005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162-15 HIGHLAND AVENUE",
"address_2": "SUITE 1A",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-907-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29-28 DITMARS BOULEVARD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052731",
"telephone_number": "718-907-1091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON-SITE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2013-05-10",
"status": "A",
"authorized_official_last_name": "SRIVASTAVA",
"authorized_official_first_name": "RAJEEV",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-907-1091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03538290",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.