Healthcare Provider Details

I. General information

NPI: 1760818504
Provider Name (Legal Business Name): CONTEMPORARY CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16215 HIGHLAND AVE SUITE 1A
JAMAICA NY
11432-3452
US

IV. Provider business mailing address

16215 HIGHLAND AVE SUITE 1A
JAMAICA NY
11432-3452
US

V. Phone/Fax

Practice location:
  • Phone: 718-297-8398
  • Fax: 718-297-0063
Mailing address:
  • Phone: 718-297-8398
  • Fax: 718-297-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101238521
License Number StateNY

VIII. Authorized Official

Name: DR. RAJEEV D SRIVASTAVA
Title or Position: PRESIDENT
Credential: MD
Phone: 718-297-8398