Organization Active NPI

Ultraline Medical Testing P.C.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1285895854
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
240456 Issued in NY
Legal business name
ULTRALINE MEDICAL TESTING P.C.
Practice address
3048 Brighton 1St St.
Floor 5
Brooklyn, NY 11235
Phone
(718) 942-5440
Fax
(718) 942-5442
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Charles Master., M.D.
Title
President
Phone
(718) 942-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 240456 NY Primary

Addresses

Primary practice location

3048 Brighton 1St St.
Floor 5
Brooklyn, NY 11235

Mailing address

3048 Brighton 1St Street
5TH Floor
Brooklyn, NY 11235
Phone (718) 942-5440

Other identifiers 1

IdentifierTypeStateIssuer
2784921MedicaidNY

National Provider Directory

National Provider Directory

Locations

3048 Brighton 1st St
Ste 5
Brooklyn, NY 11235
Phone (718) 942-5440

Practitioners & affiliated clinicians

Practitioners 3

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": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1285895854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST STREET",
            "address_2": "5TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-942-5440",
            "fax_number": "718-942-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST.",
            "address_2": "FLOOR 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-942-5440",
            "fax_number": "718-942-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRALINE MEDICAL TESTING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MASTER.",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-942-5440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "240456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784921",
            "state": "NY"
        }
    ],
    "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 Jun 25, 2024; 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.