Parkland Diagnostic Imaging, PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PARKLAND DIAGNOSTIC IMAGING, PLLC

Practice address

3055 Southwestern Blvd
Orchard Park, NY 14127-1231

Phone

(716) 677-6736

Fax

(716) 677-6144

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey Lieberman, MDNPI 1932109253

Title

Medical Director/Radiologist

Phone

(631) 517-8006

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Parkland Diagnostic Imaging Doing business as

Locations

Practitioners 1

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

• Jeffrey Lieberman

  • Diagnostic Radiology Physician
  • Orchard Park, NY
  • NPI 1932109253
  NPD (past) Authorized official

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1073590113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18005",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117888805",
            "telephone_number": "631-517-8000",
            "fax_number": "631-893-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271231",
            "telephone_number": "716-677-6736",
            "fax_number": "716-677-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND DIAGNOSTIC IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/RADIOLOGIST",
        "authorized_official_telephone_number": "631-517-8006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02677205",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DG7385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carole T. Pantera, DDSMS
• Stephanie Marie Paolini
• Emma Papagni
• Breann Parker
• Kristi Parker
• Erika Parmer
• John Pasier, D.C.
• Andrew A. Pasquale, MD
• Natalie Ann Passmore, ANP
• Nehal Punam Patel-Chille, O.D.

• Radiology Clinic/Center in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.