Active NPI
Accurate Medical Diagnostic Services PC
- Diagnostic Radiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 243250-1
- Legal business name
- ACCURATE MEDICAL DIAGNOSTIC SERVICES PC
- Practice address
- 2025 Richmond Ave
Suite 1
Staten Island, NY 10314-3937 - Phone
- (718) 494-0800
- Fax
- (718) 494-4066
- NPI assigned
- Oct 12, 2011
- Last updated
- Oct 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Siddharth Prakash, MD
- Title
- Owner/Medical Director
- Phone
- (718) 494-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 243250-1 | NY | Primary |
Addresses
Primary practice location
2025 Richmond Ave
Suite 1
Staten Island, NY 10314-3937
Mailing address
2025 Richmond Ave
Suite 1
Staten Island, NY 10314-3937
Phone (718) 494-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03389273 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2025 Richmond Ave
Ste 1
Staten Island, NY 10314
Phone (646) 244-2035
2025 Richmond Ave
Ste 1A
Staten Island, NY 10314
Phone (631) 930-5215
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1477761203
-
- Cardiovascular Disease Physician
- Toms River, NJ
- NPI 1013199538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414022400000",
"number": "1083999841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 RICHMOND AVE",
"address_2": "SUITE 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143937",
"telephone_number": "718-494-0800",
"fax_number": "718-494-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 RICHMOND AVE",
"address_2": "SUITE 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143937",
"telephone_number": "718-494-0800",
"fax_number": "718-494-4066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCURATE MEDICAL DIAGNOSTIC SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-12",
"last_updated": "2014-10-23",
"status": "A",
"authorized_official_last_name": "PRAKASH",
"authorized_official_first_name": "SIDDHARTH",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-494-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "243250-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03389273",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.