Organization Active NPI

Preventive Idtf Inc.

  • Mobile Radiology Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1245674175
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PREVENTIVE IDTF INC.
Practice address
544 Park Ave
610
Brooklyn, NY 11205-1600
Phone
(718) 388-3300
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Menachem Tauber
Title
Coo
Phone
(718) 388-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

544 Park Ave
610
Brooklyn, NY 11205-1600

Mailing address

544 Park Ave
610
Brooklyn, NY 11205-1600
Phone (718) 388-3300

National Provider Directory

National Provider Directory

Locations

544 Park Ave
#610
Brooklyn, NY 11205
Phone 7183883300201

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1245674175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 PARK AVE",
            "address_2": "610",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051600",
            "telephone_number": "718-388-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 PARK AVE",
            "address_2": "610",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051600",
            "telephone_number": "718-388-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE IDTF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-388-3300"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.