NPIMap

Organization Active NPI

Concierge Radiology Group LLC

  • Radiology Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1295487593
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CONCIERGE RADIOLOGY GROUP LLC
Practice address
520 West Ave Apt 705
Miami Beach, FL 33139-6797
Phone
(516) 509-3755
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Gustavo Pantol
Title
Employee
Phone
(516) 509-3755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

520 West Ave Apt 705
Miami Beach, FL 33139-6797

Mailing address

520 West Ave Apt 705
Miami Beach, FL 33139-6797
Phone (516) 509-3755

Other names 1

  • Concierge Radiology Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1295487593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WEST AVE APT 705",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396797",
            "telephone_number": "516-509-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WEST AVE APT 705",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396797",
            "telephone_number": "516-509-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE RADIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "PANTOL",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "516-509-3755"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Radiology Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Radiology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.