Organization Active NPI

Multicare Medical Diagnostics PC

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1184104903
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
219733 Issued in NY
Legal business name
MULTICARE MEDICAL DIAGNOSTICS PC
Practice address
13249 41St Rd Ste 1B
Flushing, NY 11355-4286
Phone
(877) 372-3266
Fax
(877) 372-3266
NPI assigned
Aug 21, 2018
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Daniel Shifteh, MDNPI 1821285487
Title
Director
Phone
(917) 804-6155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 219733 NY Primary

Addresses

Primary practice location

13249 41St Rd Ste 1B
Flushing, NY 11355-4286

Mailing address

225 E 36TH St # 19FG
New York, NY 10016-3670
Phone (877) 372-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520000566 NY Part B Supplier - Clinic/Group Practice 1052742350 Receives reassigned benefits from 4 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4011 Warren St
Ste 3
Elmhurst, NY 11373
Phone (516) 428-8364

13620 38th Ave
Ste 3A2
Flushing, NY 11354
Phone (516) 537-8314

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1184104903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 36TH ST # 19FG",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163670",
            "telephone_number": "877-372-3266",
            "fax_number": "877-372-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13249 41ST RD STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554286",
            "telephone_number": "877-372-3266",
            "fax_number": "877-372-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE MEDICAL DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "SHIFTEH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-804-6155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "219733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.