Advanced Diagnostic Imaging PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

194192 Issued in NY

Legal business name

ADVANCED DIAGNOSTIC IMAGING PLLC

Practice address

90-20 Elmhurst Avenue
Jackson Heights, NY 11372-7936

Phone

(516) 732-0621

NPI assigned

Feb 15, 2012

Last updated

Feb 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sasan Azar, MD

Title

President/Owner

Phone

(516) 732-0621

Specialties & licenses 2

Addresses

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sariana Enid Almonte, PA-C

  • Physician Assistant
  • Lawrence, NY
  • NPI 1629950498
  NPD (past)
• Angela Azar

  • Dermatology Physician
  • Great Neck, NY
  • NPI 1003988718
  NPD (past)
• Paul E Brody, MD

  • Dermatology Physician
  • Middle Village, NY
  • NPI 1548477029
  NPD (past)
• Sydney Coscia, RPA-C

  • Dermatology Physician
  • Great Neck, NY
  • NPI 1619799509
  NPD (past)
• Diana Elish, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1821284142
  NPD (past)
• Inessa Koppell, PA-C

  • Medical Physician Assistant
  • Forest Hills, NY
  • NPI 1992147292
  NPD (past)
• Ronit Shabtian

  • Physician Assistant
  • Great Neck, NY
  • NPI 1336431576
  NPD (past)
• Liliya Besedina, M.D.

  • Dermatology Physician
  • Bayonne, NJ
  • NPI 1326102609
  NPD (past)
• Daniel Alejandro Gutierrez, RPAC

  • Physician Assistant
  • Sebastian, FL
  • NPI 1295126464
  NPD (past)
• Olivia Julia Karczewski, PA-C

  • Medical Physician Assistant
  • Hoboken, NJ
  • NPI 1487269015
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1295008688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TIDEWAY ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241119",
            "telephone_number": "516-732-0621",
            "fax_number": "631-366-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-20 ELMHURST AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727936",
            "telephone_number": "516-732-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-732-0621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "194192",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "194192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Stephanie Adler, MS, CCC-SLP
• Andrew David Adlerstein, D.C.
• Marcel Mordechai Admoni, M.D.
• Adults Medical Care, P.C.
• Advance OB GYN Care PLLC
• Advanced Rehabilitation Medical Care ,PLLC
• Advanced RX, Inc.
• Advanced Urology Associates, LLC
• Aen Corp (Junction Blvd Pharmacy)
• Aesthetics & OBGYN for Advanced Women Care, P.C.

• Diagnostic Radiology Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.