Organization Active NPI

Accurate Medical Diagnostic Services PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1083999841
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
243250-1 Issued in NY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Siddharth Prakash, MDNPI 1477761203
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03389273MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111122000211 NY Part B Supplier - Clinic/Group Practice 3375717796 Receives reassigned benefits from 4 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.