NPIMap

Organization Active NPI

Medical Diagnostic Imaging PLLC

  • Radiology Clinic/Center
  • Wappingers Falls, NY
National Provider Identifier
1023435971
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEDICAL DIAGNOSTIC IMAGING PLLC
Practice address
1323 Route 9
Wappingers Falls, NY 12590-4904
Phone
(845) 471-2848
Fax
(845) 471-2919
NPI assigned
Mar 27, 2014
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Michael Waldman, MDNPI 1467434613
Title
President
Phone
(203) 818-1165

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 186503 NY
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1323 Route 9
Wappingers Falls, NY 12590-4904

Mailing address

14 Raymond Ave
Poughkeepsie, NY 12603-2312
Phone (845) 471-2848

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2170203Medical Diagnostic Imaging, PLLC1323 Route 9 Suite 107, Wappingers Falls, NY 12590Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medical Diagnostic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1323 Route 9
Ste 107
Wappingers Falls, NY 12590
Phone (845) 471-2848

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1023435971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RAYMOND AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032312",
            "telephone_number": "845-471-2848",
            "fax_number": "845-471-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-471-2848",
            "fax_number": "845-471-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-818-1165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "186503",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.