Queens Diagnostic Radiology, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

171063 Issued in NY

Legal business name

QUEENS DIAGNOSTIC RADIOLOGY, P.C.

Doing business as

Queens Diagnostic Radiology, P.C.

Practice address

25302 Rockaway Blvd Ste B
Rosedale, NY 11422-3114

Phone

(718) 764-2222

Fax

(516) 666-8655

NPI assigned

Apr 6, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Lodespoto, MD

Title

President

Phone

(718) 764-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Queens Diagnostic Radiology, P.C. Doing business as

Tax ID family

Queens Diagnostic Radiology PC2 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.

• Quuens Diagnostic Radiology, PC

  • Diagnostic Radiology Physician
  • Rosedale, NY
  • NPI 1598262669
  NPD tax ID

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174020226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25302 ROCKAWAY BLVD STE B",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223114",
            "telephone_number": "718-764-2222",
            "fax_number": "516-666-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25302 ROCKAWAY BLVD STE B",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223114",
            "telephone_number": "718-764-2222",
            "fax_number": "516-666-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DIAGNOSTIC RADIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-764-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "171063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01418331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Diagnostic Radiology, P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Queens Diagnostic Radiology, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geneira So Poulis
• Precious Worcs Inc
• Private Healthcare Facilities
• Pryce Precision OT
• Quality Services Beyond Compliance Inc
• Farah Quettant-Vergin, OTR
• Quuens Diagnostic Radiology, PC
• Saudia Jameela Rahim
• Raising in the Sun, LTD
• Raju

• Diagnostic Radiology Physician in Rosedale, NY
• Providers in Rosedale, 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 Jun 16, 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.