115 E 64TH STREET MEDICAL, PLLC
NPI 1770208076
Internal Medicine - Cardiovascular Disease in New York, NY

Q: What is 115 E 64th Street Medical, PLLC's NPI number?

The NPI number for 115 E 64th Street Medical, PLLC is 1770208076. It was assigned to this organization in the NPPES registry on October 10, 2022.

Q: What is 115 E 64th Street Medical, PLLC's specialty?

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

Active since October 10, 2022

115 E 64TH ST, NEW YORK, NY 10065(415) 999-3090 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 115 E 64th Street Medical, Pllc NPPES

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

115 E 64TH STREET MEDICAL, PLLC (NPI 1770208076) is a healthcare organization registered as a cardiovascular disease in New York, New York and active in the NPI registry since October 2022. The organization lists Shahriyar Rahmati, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770208076

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business Name115 E 64TH STREET MEDICAL, PLLC

Location Address115 E 64TH STNew York, NY 10065-7071

Mailing Address115 E 64th StNew York, NY 10065-7071 · (415) 999-3090

Phone(415) 999-3090

Organization SubpartNo

Authorized OfficialShahriyar RahmatiCfo · (561) 313-9399

Enumeration DateOctober 10, 2022

NPPES CertifiedOctober 8, 2022

✔ NPI 1770208076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

115 E 64TH ST, New York, NY 10065

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LISA ROSE DURSO MD

Internal Medicine

115 E 64TH ST, FIRST FLOOR
NEW YORK, NY 10065

New York County (212) 585-3668

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 115 E 64th Street Medical, PLLC's NPI number?

The NPI number for 115 E 64th Street Medical, PLLC is 1770208076. It was assigned to this organization in the NPPES registry on October 10, 2022.

Where is 115 E 64th Street Medical, PLLC located?

115 E 64th Street Medical, PLLC is located at 115 E 64th St, New York, NY 10065. The listed phone number is (415) 999-3090.

What is 115 E 64th Street Medical, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 115 E 64th Street Medical, PLLC was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.