Active NPI
Ultraline Medical Testing P.C.
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1285895854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 240456
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2784921 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- New Paltz, NY
- NPI 1396701678
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1285156786
-
- Neurology Physician
- New York, NY
- NPI 1487686119
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.