Springfield Radiology Imaging PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPRINGFIELD RADIOLOGY IMAGING PC

Practice address

6829 Springfield Blvd
Bayside, NY 11364-2632

Phone

(718) 279-4200

Fax

(718) 279-0020

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Ayoob Khodadadi

Title

MD

Phone

(718) 279-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1083950281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 SPRINGFIELD BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642632",
            "telephone_number": "718-279-4200",
            "fax_number": "718-279-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 SPRINGFIELD BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642632",
            "telephone_number": "718-279-4200",
            "fax_number": "718-279-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD RADIOLOGY IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "KHODADADI",
        "authorized_official_first_name": "AYOOB",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-279-1300"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Spisto
• Lena Spordone
• Katherine Sporn, D.M.D.
• Alberta Eleene Springer, PHD
• Springfield Medical Group PC
• Laurent St Gerard
• St Mary'S Hospital
• St Mary'S Hospital
• St Mary'S Hospital for Children
• St Mary'S Hospital for Children

• Specialist in Bayside, NY
• Providers in Bayside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.