Organization Active NPI

Central Nassau Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Rego Park, NY
National Provider Identifier
1114185048
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
179224 Issued in NY
Legal business name
CENTRAL NASSAU DIAGNOSTIC IMAGING
Practice address
6555 Woodhaven Blvd
Rego Park, NY 11374-5048
Phone
(718) 731-2500
Fax
(718) 731-2502
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Allen Rothpearl, MD
Title
Medical Director
Phone
(516) 527-5148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 179224 NY Primary

Addresses

Primary practice location

6555 Woodhaven Blvd
Rego Park, NY 11374-5048

Mailing address

6555 Woodhaven Blvd
Rego Park, NY 11374-5048
Phone (718) 731-2500

Other identifiers 1

IdentifierTypeStateIssuer
01626879MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Central Nassau Diagnostic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1114185048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745048",
            "telephone_number": "718-731-2500",
            "fax_number": "718-731-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745048",
            "telephone_number": "718-731-2500",
            "fax_number": "718-731-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NASSAU DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "ROTHPEARL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-527-5148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "179224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01626879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.