Healthcare Provider Details

I. General information

NPI: 1245404003
Provider Name (Legal Business Name): PROGRESSIVE CARDIOVASCULAR CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9033 SPRINGFIELD BLVD
QUEENS VILLAGE NY
11428-1352
US

IV. Provider business mailing address

9033 SPRINGFIELD BLVD
QUEENS VILLAGE NY
11428-1352
US

V. Phone/Fax

Practice location:
  • Phone: 718-464-5225
  • Fax: 718-740-8838
Mailing address:
  • Phone: 718-464-5225
  • Fax: 718-740-8838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAKESH P GUPTA
Title or Position: M.D.
Credential: M.D.
Phone: 646-752-0732