Roosevelt Cardio Vascular Diagnostic, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2532881 Issued in NY

Legal business name

ROOSEVELT CARDIO VASCULAR DIAGNOSTIC, P.C.

Practice address

37-51 A 90TH St
Jackson Heights, NY 11372-7936

Phone

(718) 942-9355

Fax

(718) 285-0399

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marc Rybstein, M.D.,NPI 1538393822

Title

Medical Director

Phone

(718) 942-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Marc Rybstein, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1538393822
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1952758807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 90TH ST # A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727829",
            "telephone_number": "718-942-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-51 A 90TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727936",
            "telephone_number": "718-942-9355",
            "fax_number": "718-285-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT CARDIO VASCULAR DIAGNOSTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "RYBSTEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-942-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "2532881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2532881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Isabel Romero, LMSW
• Daniella A Rondanelli, LMSW
• Metherlyn Rondon, LMHC
• Bonij Ronjan
• Roosevelt Ave Pain Medicine PLLC
• Roosevelt City Pharmacy Inc
• Roosevelt Dental Care II P.C.
• Roosevelt Dental Care P.C.
• Roosevelt Drug Corp
• Roosevelt Optometry Associates PLLC

• Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.