Lifeline Medical Imaging PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LIFELINE MEDICAL IMAGING PC

Practice address

1810 Voorhies Ave Ste 10
Brooklyn, NY 11235-3313

Phone

(347) 292-7998

Fax

(212) 918-9117

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Joseph F DorstenNPI 1477590396

Title

President

Phone

(347) 292-7998

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph F Dorsten, DO

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1477590396
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Paul Friedlander, M.D.

  • Cardiovascular Disease Physician
  • Forest Hills, NY
  • NPI 1528054137
  Medicare reassignment Care Compare group NPD
• Zoya Maksumova, M.D.

  • Radiological Physics Physician
  • New York, NY
  • NPI 1730119777
  Medicare reassignment Care Compare group NPD
• Roy M Shanon, M.D.

  • Neurology Physician
  • Melville, NY
  • NPI 1285723791
  Medicare reassignment Care Compare group NPD
• Paul Bonheim, M.D.

  • Diagnostic Radiology Physician
  • Hauppauge, NY
  • NPI 1235139775
  Medicare reassignment NPD

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1154895076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 VOORHIES AVE STE 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353313",
            "telephone_number": "347-292-7998",
            "fax_number": "212-918-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 VOORHIES AVE STE 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353313",
            "telephone_number": "347-292-7998",
            "fax_number": "212-918-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "DORSTEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-292-7998"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life-Touch Pharmacy Inc
• Lifecare Family Chiropractic PC
• Lifeline Ambulance Service Inc
• Lifeline Community Health LLC
• Lifeline Medical Corp.
• Lifeline Medical Supply
• Lifeline Physical Therapy PLLC
• Lifeline Psychological, P.C.
• Lifelong Medical Diagnostics PC
• Lifelong Medical, P.C.

• Diagnostic Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 2, 2019; 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.