Bronx Medical Diagnostic, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

171063 Issued in NY

Legal business name

BRONX MEDICAL DIAGNOSTIC, P.C.

Practice address

3117 Buhre Ave
Bronx, NY 10461-4799

Phone

(718) 764-5000

Fax

(718) 239-6308

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joseph Lodespoto, M.D.

Title

Medical Director

Phone

(718) 764-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Richard Hilaire, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1902998255
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1215238969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 BUHRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614738",
            "telephone_number": "718-764-5000",
            "fax_number": "718-239-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 BUHRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614799",
            "telephone_number": "718-764-5000",
            "fax_number": "718-239-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX MEDICAL DIAGNOSTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-764-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

• Bronx Lebanon Hospital Center
• Bronx Lebanon Hospital Life Recovery Center
• Bronx Lebanon Nephrology, PLLC
• Bronx Medical Art PC
• Bronx Medical Care Assoc., P.C
• Bronx Medical Health Services
• Bronx Medical Neuro Care PLLC
• Bronx Medical Practice P.C.
• Bronx Medical Practice P.C.
• Bronx Medical Services 21 P.C.

• Diagnostic Radiology Physician in Bronx, NY
• Providers in Bronx, 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 Feb 10, 2012; 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.