Enterprise Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

219543 Issued in NY

Legal business name

ENTERPRISE RADIOLOGY PC

Practice address

4334 Broadway
New York, NY 10033-2412

Phone

(516) 495-7129

Fax

(516) 977-2874

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Daniel E Beyda, M.D.

Title

Medical Director

Phone

(516) 495-7115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1083964712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034002",
            "telephone_number": "516-354-4200",
            "fax_number": "516-495-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332412",
            "telephone_number": "516-495-7129",
            "fax_number": "516-977-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BEYDA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-495-7115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "219543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brightstar Enschede, MD
• Samantha Kramer Enslein
• Dane Ensley
• Caroline Liang Ensor, MD, MBA
• Charles F. Entelis, M.D.
• Enterprise Radiology PC
• Alice Hunnicutt Entin, MSW
• Roxanne Entrada
• Lavin Entwisle
• Nicole Entwistle

• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.