Integrated Diagnostic Imaging & Cardiology of Staten Island P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INTEGRATED DIAGNOSTIC IMAGING & CARDIOLOGY OF STATEN ISLAND P.C.

Practice address

2052 Richmond Rd Ste B
Staten Island, NY 10306-2583

Phone

(201) 888-7877

Fax

(855) 420-5931

NPI assigned

Jul 28, 2006

Last updated

Sep 20, 2023By 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

John Edward Strobeck, MDNPI 1215936299

Title

Owner

Phone

(201) 888-7877

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations (25 of 37)

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Ahmed

  • Neurology Physician
  • New York, NY
  • NPI 1831517002
  Medicare reassignment NPD
• Madhu Babu Boppana, MD

  • Neurology Physician
  • Elmhurst, NY
  • NPI 1245306000
  Medicare reassignment NPD
• Michael Ray Kiu Lim Hong

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1831684562

  Single Specialty

  Medicare reassignment NPD
• Eliezer L. Offenbacher, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1891746517
  Medicare reassignment NPD
• Donald Cedric Wallerson, MD

  • Cardiovascular Disease Physician
  • Bronx, NY
  • NPI 1407885387
  Medicare reassignment NPD
• Jack Lawrence Baldassare, MD

  • Diagnostic Radiology Physician
  • Tenafly, NJ
  • NPI 1225070121

  NY

  Medicare reassignment NPD
• Robert Solomon, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1720050040
  Medicare reassignment
• John Edward Strobeck, MD, PHD

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1215936299
  Authorized official Same address or phone
• Mohammad S Hussain, M.D.

  • Internal Medicine Physician
  • Amityville, NY
  • NPI 1710051537
  NPD (past)
• Asha John, M.D.

  • Internal Medicine Physician
  • New City, NY
  • NPI 1356679823
  NPD (past)
• Stanley John, M.D.

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1346272333
  NPD (past)
• Maximo B. Julian, MEDICAL DOCTOR

  • Family Medicine Physician
  • New York, NY
  • NPI 1811060833
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1174537948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD STE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "201-888-7877",
            "fax_number": "855-420-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD STE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "201-888-7877",
            "fax_number": "855-420-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DIAGNOSTIC IMAGING & CARDIOLOGY OF STATEN ISLAND P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "STROBECK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-888-7877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1306831",
            "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": "02743653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "1306831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Staten Island, NY
• Providers in Staten Island, 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 Sep 20, 2023; 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.