MEDICARE: PROGRESSIVE CARDIOVASCULAR CARE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	08098	OTHER	NY	GHI MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245404003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE CARDIOVASCULAR CARE P.C.

Provider Business Mailing Address
First Line	:	9033 SPRINGFIELD BLVD
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11428-1352
Country	:	US
Telephone Number	:	718-464-5225
Fax Number	:	718-740-8838

Provider Business Practice Location Address
First Line	:	9033 SPRINGFIELD BLVD
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11428-1352
Country	:	US
Telephone Number	:	718-464-5225
Fax Number	:	718-740-8838

Authorized Official
Title or Position	:	M.D.
Name	:	DR. RAKESH P GUPTA
Credential	:	M.D.
Telephone Number	:	646-752-0732

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	05/15/2026

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Directions to “PROGRESSIVE CARDIOVASCULAR CARE P.C. ” Practice Location

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