Organization Active NPI

Alpha Diagnostics Management Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Bronx, NY
National Provider Identifier
1063104701
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ALPHA DIAGNOSTICS MANAGEMENT INC.
Practice address
1200 Waters PL Ste 104
Bronx, NY 10461-2729
Phone
(888) 929-7533
Fax
(888) 929-7537
NPI assigned
May 22, 2023
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dimitry Kargman
Title
Ceo
Phone
(917) 576-7467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary
Sleep Specialist (PhD) 173F00000X NU

Addresses

Primary practice location

1200 Waters PL Ste 104
Bronx, NY 10461-2729

Mailing address

1200 Waters PL Ste 104
Bronx, NY 10461-2729
Phone (888) 929-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903000650 NY Part B Supplier - Clinic/Group Practice 4082115738 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1063104701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612729",
            "telephone_number": "888-929-7533",
            "fax_number": "888-929-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612729",
            "telephone_number": "888-929-7533",
            "fax_number": "888-929-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DIAGNOSTICS MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "KARGMAN",
        "authorized_official_first_name": "DIMITRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-576-7467"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.