Centerlight Diagnostic and Treatment Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTERLIGHT DIAGNOSTIC AND TREATMENT CENTER, INC.

Practice address

1250 Waters PL
Tower 1 Suite 602
Bronx, NY 10461-2720

Phone

(347) 640-6050

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Rosen

Title

VP of Finance

Phone

(347) 640-6050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DTC Other name

Practitioners 1

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

• Jonathan W. M. Gold, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1336206432
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1043431349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "TOWER 1 SUITE 602",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "347-640-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "TOWER 1 SUITE 602",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "347-640-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLIGHT DIAGNOSTIC AND TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "347-640-6050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01353222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.