Medpro Movil LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

MEDPRO MOVIL LLC

Practice address

16808 Hillside Ave
Jamaica, NY 11432-4341

Phone

(718) 739-1400

Fax

(800) 732-1219

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Mohammad Sadique

Title

Director

Phone

(718) 739-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1154898187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PENINSULA BLVD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981542",
            "telephone_number": "718-739-1400",
            "fax_number": "800-732-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16808 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324341",
            "telephone_number": "718-739-1400",
            "fax_number": "800-732-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO MOVIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "SADIQUE",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-739-1400"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.