Organization Active NPI

Reopen Diagnostics LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Long Island City, NY
National Provider Identifier
1063008886
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
REOPEN DIAGNOSTICS LLC
Practice address
4518 Court SQ
Long Island City, NY 11101-2955
Phone
(332) 214-3323
Fax
(888) 473-2963
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Mr. Jonathan Badal
Title
President & Ceo
Phone
(347) 831-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

4518 Court SQ
Long Island City, NY 11101-2955

Mailing address

4518 Court SQ
Long Island City, NY 11101-2955
Phone (332) 214-3323

National Provider Directory

National Provider Directory

Locations

4518 Court Sq
Long Island City, NY 11101
Phone (332) 214-3323

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1063008886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 COURT SQ",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012955",
            "telephone_number": "332-214-3323",
            "fax_number": "888-473-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 COURT SQ",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012955",
            "telephone_number": "332-214-3323",
            "fax_number": "888-473-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REOPEN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "BADAL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "347-831-3555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.