PERSONALIZED CARDIAC CARE PC
NPI 1194380105
Clinic/Center - Primary Care in New York, NY

Active since May 06, 2019
211 E 79TH ST, NEW YORK, NY 10075(212) 879-1600 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Personalized Cardiac Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONALIZED CARDIAC CARE PC (NPI 1194380105) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since May 2019. The organization lists Zaza Josuhua Aivazi, Md, as its authorized official.

NPPES Registry Identity

NPI1194380105
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePERSONALIZED CARDIAC CARE PC
Location Address211 E 79TH STNew York, NY 10075-0819
Mailing Address777 Addison StWoodmere, NY 11598-2937 · (718) 440-6161
Organization SubpartNo
Authorized OfficialZaza Josuhua AivaziMd · (718) 454-4356
Enumeration DateMay 6, 2019
NPI 1194380105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
211 E 79TH ST, New York, NY 10075

Other Identifiers 1

Medicaid2491454NY

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
211 E 79TH ST, PHARMACY 2ND FLOOR
NEW YORK, NY 10075
Internal Medicine
211 E 79TH ST
NEW YORK, NY 10075
Occupational Therapy Assistant
211 E 79TH ST
NEW YORK, NY 10075
Pharmacist
211 E 79TH ST, 2ND FLOOR PHARMACY
NEW YORK, NY 10075
Internal Medicine
211 E 79TH ST
NEW YORK, NY 10075
Physical Therapy Assistant
211 E 79TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
211 E 79TH ST
NEW YORK, NY 10075
Pharmacist
211 E 79TH ST, 2ND FLOOR PHARMACY
NEW YORK, NY 10075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personalized Cardiac Care PC's NPI number?

The NPI number for Personalized Cardiac Care PC is 1194380105. It was assigned to this organization in the NPPES registry on May 6, 2019.

Where is Personalized Cardiac Care PC located?

Personalized Cardiac Care PC is located at 211 E 79th St, New York, NY 10075. The listed phone number is (212) 879-1600.

What is Personalized Cardiac Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Personalized Cardiac Care PC was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.