ADVANCED CARDIAC MEDICINE PC (NPI# 1609984913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609984913 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARDIAC MEDICINE PC |
| Practice Address |
16215 Highland Avenue Suite 1a Jamaica NY 11432 |
| Practice Telephone | 7182978398 |
| Practice Fax Number | 7182970063 |
| Mailing Telephone | 7182978398 |
| Mailing Fax Number | 7182970063 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAJEEV SRIVASTAVA (OWNER) |
| Authorized Official Telephone | 7182978398 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
197800 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01947819 | 05 |
| Street Address |
16215 HIGHLAND AVENUE SUITE 1A |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740693662 | Robbin Bura Moisa | Internal Medicine | 18465 Midland Pkwy, Jamaica, NY 11432-1527 | 2014-06-09 |
| 1174802516 | Vascular Imaging, PC | Internal Medicine | 162-15 Highland Ave, Apt 1a, Jamaica, NY 11432 | 2011-08-16 |
| 1730478264 | Vascular Imaging, Inc | Internal Medicine | 16215 Highland Ave Ste 1a, Jamaica, NY 11432-3459 | 2011-04-05 |
| 1730315177 | Mount Sinai School of Medicine | Internal Medicine | 143 - 05 Hillside Avenue, Jamaica, NY 11435 | 2009-05-29 |
| 1326207705 | Mount Sinai School of Medicine | Internal Medicine | 143 05 Hillside Avenue, Jamaica, NY 11435 | 2008-06-02 |
| 1548346406 | Joseph Colasacco | Internal Medicine | 134-20 Jamaica Avenue, Jamaica, NY 11418 | 2006-10-31 |
| 1467545509 | Citicardiaccare P.C. | Internal Medicine | 8002 165th St, Jamaica, NY 11432-1208 | 2006-10-02 |
| 1366542284 | Jose Wiley | Internal Medicine | 143-05 Hillside Avenue, Jamaica, NY 11435 | 2006-09-22 |
| 1588621395 | Kenneth S Lerrick | Internal Medicine | 13916 91st Ave, Jamaica, NY 11435-4219 | 2006-04-26 |
| 1891758470 | Hobart C. Price | Internal Medicine | 11906 Guy R Brewer Blvd, Jamaica, NY 11434-2104 | 2006-04-06 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.