Organization Active NPI

Expert Medical Diagnostics, PLLC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1013214089
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
230304 Issued in NY
Legal business name
EXPERT MEDICAL DIAGNOSTICS, PLLC
Doing business as
Expert Medical Diagnostics, PLLC
Practice address
115 E 57TH St Ste 1450
New York, NY 10022-2109
Phone
(212) 203-6957
Fax
(212) 203-6957
NPI assigned
Feb 27, 2011
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luiza Florentina Petre, MDNPI 1053465971
Title
Owner
Phone
(914) 620-5755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 230304 NY Primary

Addresses

Primary practice location

115 E 57TH St Ste 1450
New York, NY 10022-2109

Mailing address

115 E 57TH St Ste 1450
New York, NY 10022-2109
Phone (212) 203-6957

Other names 1

  • Expert Medical Diagnostics, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000610 NY Part B Supplier - Clinic/Group Practice 9537337795 Receives reassigned benefits from 1 practitioner
Practice locations: Far Rockaway, NY; Bronx, NY; Wappingers Falls, NY; Spring Valley, NY; Poughkeepsie, NY; Port Jervis, NY; New York, NY; New City, NY…

National Provider Directory

National Provider Directory

Locations

1 Pondfield Rd W
Ste 2
Bronxville, NY 10708
Phone (914) 472-4610

4143 Crescent St
Long Island City, NY 11101
Phone 7187842240 ext. 107

1019 Yonkers Ave
Ste 2
Yonkers, NY 10704
Phone (917) 423-0433

472 Palmer Rd
Yonkers, NY 10701
Phone (914) 375-2300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1013214089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222109",
            "telephone_number": "212-203-6957",
            "fax_number": "212-203-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 1450",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222109",
            "telephone_number": "212-203-6957",
            "fax_number": "212-203-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT MEDICAL DIAGNOSTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "PETRE",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_middle_name": "FLORENTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-620-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "230304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expert Medical Diagnostics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.