East River Diagnostic Center LLC

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

Legal business name

EAST RIVER DIAGNOSTIC CENTER LLC

Practice address

3 Franklin PL
Massapequa, NY 11758-7016

Phone

(516) 410-3640

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gerard Fusaro, DC

Title

Director

Phone

(516) 410-3640

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670025600000",
    "number": "1154982361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LEONARD DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587920",
            "telephone_number": "212-288-2823",
            "fax_number": "212-208-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FRANKLIN PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587016",
            "telephone_number": "516-410-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIVER DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "FUSARO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-410-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flaviu C Dunca, D.D.S
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• Alexandra L Dwyer
• Megan Dwyer, LCSW
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• Jeanne Edme
• Darcie Edwardes, LMT
• Lovan Edwards, PTA
• James J Egan, PT

• Neuroradiology Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Neuroradiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; 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.