Star Medserve, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

224861 Issued in NY

Legal business name

STAR MEDSERVE, P.C.

Practice address

7235 51St Ave
Ste B
Woodside, NY 11377-7610

Phone

(718) 446-7500

Fax

(718) 446-9012

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Naiyer Imam, MD

Title

Owner

Phone

(540) 529-5472

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1154764470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 51ST AVE",
            "address_2": "STE B",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777610",
            "telephone_number": "718-446-7500",
            "fax_number": "718-446-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 51ST AVE",
            "address_2": "STE B",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777610",
            "telephone_number": "718-446-7500",
            "fax_number": "718-446-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDSERVE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "NAIYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-529-5472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "224861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Joan Sonsona, P.T.
• Ma. Raquel Soriano, RN, BSN
• Nelson Ramon Sosa, LMSW
• Anatoly Spektor, OTR
• Kimberly Standfast, LCSW
• Christina Marie Stasio
• State Dental Arts P.C
• Kaela Stephen
• Jacqueline Brenetta Stewart, PHYSICAL THERAPIST
• Strategy Anesthesia New York PLLC

• Diagnostic Radiology Physician in Woodside, NY
• Providers in Woodside, 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 Apr 17, 2013; 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.