Community Cardiovascular Services, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

244275 Issued in NY

Legal business name

COMMUNITY CARDIOVASCULAR SERVICES, PLLC

Practice address

117-44, 122ND Street
South Ozone Park, NY 11420

Phone

(347) 479-6111

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Jaffar Raza, MD

Title

Co-Director

Phone

(917) 328-0752

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1992255350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101-20 LEFFERTS BLVD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117-44, 122ND STREET",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "347-479-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARDIOVASCULAR SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "JAFFAR",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "917-328-0752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "244275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in South Ozone Park, NY
• Providers in South Ozone Park, 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 Oct 10, 2016; 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.