Organization Active NPI

A. Khodadadi Radiology P.C.

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1083664767
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
113253-1 Issued in NY
Legal business name
A. KHODADADI RADIOLOGY P.C.
Practice address
2678 Gerritsen Ave
Brooklyn, NY 11229-5947
Phone
(718) 333-0275
Fax
(718) 333-0224
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Dr. Ayoob Khodadadi, M.D.,
Title
President
Phone
(718) 333-0207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 113253-1 NY Primary

Addresses

Primary practice location

2678 Gerritsen Ave
Brooklyn, NY 11229-5947

Mailing address

2678 Gerritsen Ave
Brooklyn, NY 11229-5947
Phone (718) 333-0275

National Provider Directory

National Provider Directory

Locations

161 Brighton 11th St
Ste 10
Brooklyn, NY 11235
Phone (718) 333-0275

5106 Vernon Blvd
Ste 200
Long Island City, NY 11101
Phone (718) 333-0275

105 Stevens Ave
Ste 103
Mount Vernon, NY 10550
Phone (914) 699-8926

2035 Lakeville Rd
Ste 104
New Hyde Park, NY 11040
Phone (516) 328-9797

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1083664767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 GERRITSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295947",
            "telephone_number": "718-333-0275",
            "fax_number": "718-333-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 GERRITSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295947",
            "telephone_number": "718-333-0275",
            "fax_number": "718-333-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. KHODADADI RADIOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "KHODADADI",
        "authorized_official_first_name": "AYOOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-333-0207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "113253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.