Active NPI
Nassau Medical Diagnostics, LLC
- Internal Medicine Physician
- Garden City, NY
National Provider Identifier
1215958327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NASSAU MEDICAL DIAGNOSTICS, LLC
- Practice address
- 520 Franklin Ave
Suite 215
Garden City, NY 11530-5801 - Phone
- (516) 742-8787
- Fax
- (516) 742-0647
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Colucci, M.D.
- Title
- Member/Officer
- Phone
- (516) 742-8787
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
520 Franklin Ave
Suite 215
Garden City, NY 11530-5801
Mailing address
520 Franklin Ave
Suite 215
Garden City, NY 11530-5801
Phone (516) 742-8787
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mineola, NY
- NPI 1780640813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215958327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 FRANKLIN AVE",
"address_2": "SUITE 215",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305801",
"telephone_number": "516-742-8787",
"fax_number": "516-742-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 FRANKLIN AVE",
"address_2": "SUITE 215",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305801",
"telephone_number": "516-742-8787",
"fax_number": "516-742-0647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSAU MEDICAL DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLUCCI",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MEMBER/OFFICER",
"authorized_official_telephone_number": "516-742-8787",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
- Elizabeth A Nash, RN
- Ayesha Nashurdeen
- Ashley Nasimi
- Nassau Center for Ambulatory Surgery
- Nassau Health Consultants Corp (Medi-Weightloss, Garden City)
- Nassau Psychological Assessment Services, PLLC (Nassau Neuropsychology)
- Nassau Wellness Marriage and Family Therapy PLLC
- Noel Blythe Natoli, M.D.
- Nazanin Acupuncture P.C.
- Tracy Needham
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.