Organization Active NPI

New Millennium Radiology, PC

  • Radiologic Technologist
  • Flushing, NY
National Provider Identifier
1063740231
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
NEW MILLENNIUM RADIOLOGY, PC
Practice address
13848 Elder Ave
Flushing, NY 11355-4066
Phone
(718) 321-7100
Fax
(718) 321-7115
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Neal M. Lisann
Title
Director
Phone
(718) 321-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

13848 Elder Ave
Flushing, NY 11355-4066

Mailing address

13848 Elder Ave
Flushing, NY 11355-4066
Phone (718) 321-7100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1063740231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13848 ELDER AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554066",
            "telephone_number": "718-321-7100",
            "fax_number": "718-321-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 ELDER AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554066",
            "telephone_number": "718-321-7100",
            "fax_number": "718-321-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENNIUM RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "LISANN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-321-7100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.