Active NPI
Reopen Diagnostics LLC
- Clinical Pathology/Laboratory Medicine Physician
- Long Island City, NY
National Provider Identifier
1063008886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 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 DirectoryLocations
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.