Queens Medical Imaging, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H98099818578 Issued in NY

Legal business name

QUEENS MEDICAL IMAGING, PC

Practice address

6915 Austin St
Forest Hills, NY 11375-4238

Phone

(718) 544-5100

Fax

(718) 575-1926

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Winakor

Title

Director, Managed Care

Phone

(516) 616-5000

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia A Kelly, MD

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1255339743
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1023011285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754238",
            "telephone_number": "718-544-5100",
            "fax_number": "718-575-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754238",
            "telephone_number": "718-544-5100",
            "fax_number": "718-575-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MEDICAL IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "WINAKOR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "516-616-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "H98099818578",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02526089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queens Atlantic Medical, PLLC
• Queens Central Pharmacy Inc
• Queens Community House, Inc.
• Queens Family Medical Health and Wellness, PC
• Queens Hematology Oncology PC
• Queens Medical Imaging, PC
• Queens Medical of New York LLC
• Queens Medical Pavilion,LLC (Ny Med)
• Queens Nephrology Care PC
• Queens Physical Therapy Associates LLP

• Diagnostic Radiology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.