Organization Active NPI

Diversified Medical Imaging P.C.

  • Diagnostic Radiology Physician
  • Jamaica, NY
National Provider Identifier
1093000523
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
168512-1 Issued in NY
Legal business name
DIVERSIFIED MEDICAL IMAGING P.C.
Practice address
139-16 91St Ave
Jamaica, NY 11435
Phone
(718) 454-8556
Fax
(718) 454-7950
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Mark R. Armstrong, M.D.
Title
President
Phone
(718) 454-8556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 168512-1 NY Primary

Addresses

Primary practice location

139-16 91St Ave
Jamaica, NY 11435

Mailing address

139-16 91St Ave
Jamaica, NY 11435
Phone (718) 454-8556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1093000523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139-16 91ST AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-454-8556",
            "fax_number": "718-454-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139-16 91ST AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-454-8556",
            "fax_number": "718-454-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED MEDICAL IMAGING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-454-8556",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "168512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.