Organization Active NPI

Fresh Meadows Diagnostic Radiology, PC

  • Radiology Clinic/Center
  • Flushing, NY
National Provider Identifier
1275930489
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
106140-4 Issued in NY
Legal business name
FRESH MEADOWS DIAGNOSTIC RADIOLOGY, PC
Practice address
16105 Horace Harding Expy
Flushing, NY 11365-1426
Phone
(718) 359-8700
Fax
(718) 762-0067
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dr. Harvey Leonard Lefkowitz, M.D.
Title
Owner
Phone
(718) 359-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 106140-4 NY Primary

Addresses

Primary practice location

16105 Horace Harding Expy
Flushing, NY 11365-1426

Mailing address

16105 Horace Harding Expy
Flushing, NY 11365-1426
Phone (718) 359-8700

Other identifiers 1

IdentifierTypeStateIssuer
00186118MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1275930489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 HORACE HARDING EXPY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651426",
            "telephone_number": "718-359-8700",
            "fax_number": "718-762-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16105 HORACE HARDING EXPY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651426",
            "telephone_number": "718-359-8700",
            "fax_number": "718-762-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH MEADOWS DIAGNOSTIC RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "LEFKOWITZ",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-359-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "106140-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186118",
            "state": "NY"
        }
    ],
    "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 Dec 3, 2014; 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.