Provider Demographics
NPI:1861659914
Name:ADVANCED CARDIOVASCULAR IMAGING, PC
Entity Type:Organization
Organization Name:ADVANCED CARDIOVASCULAR IMAGING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIONG-MING
Authorized Official - Middle Name:
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:718-353-9698
Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:5G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4233
Mailing Address - Country:US
Mailing Address - Phone:718-353-9698
Mailing Address - Fax:718-353-0387
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:5G
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4233
Practice Address - Country:US
Practice Address - Phone:718-353-9698
Practice Address - Fax:718-353-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211214207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4C3078OtherHEALTH NET, GUARDIAN
000206060101OtherHEALTH PLUS
0409889004OtherCIGNA-INTERNAL MEDICINE
NY211214-C27OtherHEALTHFIRST
NY2088136OtherUHC, EMPIRE PLAN
NYP1984215OtherOXFORD
OH211214-C27OtherHIP
7971326OtherAETNA PPO
NY02156476Medicaid
139166BJOtherPREFERRED CARE
NY0409889005OtherCIGNA-SPECIALIST
NY165260OtherWELLCARE
2985909OtherAETNA-HMO
NY079AZ3OtherBCBS
2593946OtherGHI
NY56B36FL331Medicare PIN
NY211214-C27OtherHEALTHFIRST
NY4C3078OtherHEALTH NET, GUARDIAN
NY56B361Medicare PIN