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NY CARDIAC & VASCULAR PLLC
NPI 1396141503
Internal Medicine - Cardiovascular Disease in Staten Island, NY

Active since November 15, 2014
1112 SOUTH AVE STE B, STATEN ISLAND, NY 10314(718) 761-8800(718) 761-8804 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2024, Apr 4, 2024 (2 updates tracked since 2024).

About Ny Cardiac & Vascular Pllc NPPES

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

NY CARDIAC & VASCULAR PLLC (NPI 1396141503) is a healthcare organization registered as a cardiovascular disease in Staten Island, New York and active in the NPI registry since November 2014. The organization maintains a secondary practice location in Staten Island and lists Mohammad Hussein Zgheib, Md, as its authorized official.

NPPES Registry Identity

NPI1396141503
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNY CARDIAC & VASCULAR PLLC
Location Address1112 SOUTH AVE STE BStaten Island, NY 10314-3410
Mailing AddressPo Box 61507Staten Island, NY 10306-7507 · (718) 761-8800 · Fax (718) 761-8804
Phone(718) 761-8800
Fax(718) 761-8804
Organization SubpartNo
Authorized OfficialMohammad Hussein ZgheibMd · (718) 761-8800
Enumeration DateNovember 15, 2014
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1396141503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
1112 SOUTH AVE STE B, Staten Island, NY 10314
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Other Names 1

Doing Business AsNy Cardiac & Vascular Pllc

Secondary Practice Location 1

Location 11497 Richmond RdStaten Island, NY 10304-2311 · Phone (718) 761-8800 · Fax (718) 761-8804

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ny Cardiac & Vascular Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ny Cardiac & Vascular PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Christina Decicco, FNP-C
Nurse Practitioner
NPI 1194432450
1112 SOUTH AVE
Staten Island, NY 10314
(718) 761-8800
✔ PECOSSame address
Michael Manolios, M.D.
Interventional Cardiology
NPI 1700913076
1112 SOUTH AVE STE B
Staten Island, NY 10314
(718) 761-8800
✔ PECOS✔ Accepts MedicareSame address
Mohammad Zgheib, M.D.
Interventional Cardiology
NPI 1245442490
1112 SOUTH AVE STE A
Staten Island, NY 10314
(718) 761-8800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ny Cardiac & Vascular PLLC's NPI number?

The NPI number for Ny Cardiac & Vascular PLLC is 1396141503. It was assigned to this organization in the NPPES registry on November 15, 2014.

Where is Ny Cardiac & Vascular PLLC located?

Ny Cardiac & Vascular PLLC is located at 1112 South Ave Ste B, Staten Island, NY 10314. The listed phone number is (718) 761-8800.

What is Ny Cardiac & Vascular PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ny Cardiac & Vascular PLLC enrolled in Medicare?

Yes. Ny Cardiac & Vascular PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ny Cardiac & Vascular PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ny Cardiac & Vascular PLLC, in Interventional Cardiology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ny Cardiac & Vascular PLLC was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.