Daniel Schlusselberg MD PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DANIEL SCHLUSSELBERG MD PC

Practice address

260 N Route 303
West Nyack, NY 10994-1608

Phone

(845) 271-2111

Fax

(888) 673-5656

NPI assigned

Mar 19, 2021

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gene Khodak

Title

Manager

Phone

(845) 271-2111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1043896186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROADWAY STE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505301",
            "telephone_number": "845-271-2111",
            "fax_number": "888-673-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N ROUTE 303",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941608",
            "telephone_number": "845-271-2111",
            "fax_number": "888-673-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SCHLUSSELBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "KHODAK",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-271-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.