Organization Active NPI

New York Pet Imaging Center LLC

  • Radiology Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1053564781
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
H98121487078 Issued in NY
Legal business name
NEW YORK PET IMAGING CENTER LLC
Doing business as
New York Pet Imaging Center LLC
Practice address
7404 5TH Ave
Brooklyn, NY 11209-2704
Phone
(718) 439-5111
Fax
(866) 790-3506
NPI assigned
Oct 28, 2008
Organization subpart
Yes
Parent organization
NIRANJAN K. MITTAL, PHYSICIAN, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Dr. Niranjan K Mittal, MDNPI 1083680003
Title
Owner
Phone
(718) 439-5111

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
Radiology Clinic/Center 261QR0200X H98121487078 NY Primary

Addresses

Primary practice location

7404 5TH Ave
Brooklyn, NY 11209-2704

Mailing address

7404 5TH Ave Ste LL
Brooklyn, NY 11209-2704
Phone (718) 439-5111

Other identifiers 3

IdentifierTypeStateIssuer
1083680003OtherNYNPI FOR NIRANJAN K MITTAL
1053564781OtherNYNPI
A300001707OtherNYPTAN

Other names 1

  • New York Pet Imaging Center LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Niranjan K Mittal Physician

Locations

7404 5th Ave
Lowr
Brooklyn, NY 11209

7404 5th Ave
Ste Ll
Brooklyn, NY 11209

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1053564781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE STE LL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "866-790-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "718-439-5111",
            "fax_number": "866-790-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PET IMAGING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIRANJAN K. MITTAL, PHYSICIAN, PLLC",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "NIRANJAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-439-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "H98121487078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR NIRANJAN K MITTAL",
            "identifier": "1083680003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053564781",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A300001707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Pet Imaging Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New York Pet Imaging Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.