Organization Active NPI

Precision Cardiovascular Care, PLLC

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1962087809
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PRECISION CARDIOVASCULAR CARE, PLLC
Practice address
13633 37TH Ave Ste 5B
Flushing, NY 11354-4562
Phone
(919) 265-8919
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Dr. Xuming Dai, MD, PHDNPI 1154584589
Title
President
Phone
(919) 265-8919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

13633 37TH Ave Ste 5B
Flushing, NY 11354-4562

Mailing address

18 Davis LN
Roslyn, NY 11576-2157
Phone (919) 265-8919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506000171 NY Part B Supplier - Clinic/Group Practice 9537578463 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13633 37th Ave
Ste 5B
Flushing, NY 11354
Phone (919) 265-8919

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1962087809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DAVIS LN",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762157",
            "telephone_number": "919-265-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13633 37TH AVE STE 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544562",
            "telephone_number": "919-265-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CARDIOVASCULAR CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "DAI",
        "authorized_official_first_name": "XUMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-265-8919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.