ADVANCED CARDIAC MEDICINE PC; NPI #1609984913

Contact Information

ADVANCED CARDIAC MEDICINE PC

16215 HIGHLAND AVENUE
SUITE 1A
JAMAICA, NY 11432

Phone: 718-297-8398
Fax: 718-297-0063
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for ADVANCED CARDIAC MEDICINE PC

NPI # 1609984913

LBN Legal business name ADVANCED CARDIAC MEDICINE PC

Authorized official RAJEEV SRIVASTAVA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/27/2006

Last updated 12/22/2025 - About 6 months ago

Identifiers

NY	License #	197800
NY	Medicaid	01947819

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ADVANCED CARDIAC MEDICINE PC

Contact Information

Specialty

Cardiovascular Disease

NPI Profile & details for ADVANCED CARDIAC MEDICINE PC

Reviews for ADVANCED CARDIAC MEDICINE PC