Organization Active NPI

East Manhattan Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1295788917
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.
Practice address
3131 Kings Hwy
Suite a-4
Brooklyn, NY 11234-2644
Phone
(718) 758-1500
Fax
(718) 758-2400
NPI assigned
May 17, 2006
Organization subpart
Yes
Parent organization
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Kevin Math, MD
Title
Medical Director
Phone
(201) 830-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3131 Kings Hwy
Suite a-4
Brooklyn, NY 11234-2644

Mailing address

PO Box 10270
Uniondale, NY 11555-0270
Phone (201) 830-3122

Other identifiers 1

IdentifierTypeStateIssuer
03234842MedicaidNY

Other names 1

  • Kingsway Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory
Part of
East Manhattan Diag Ima

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1295788917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10270",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115550270",
            "telephone_number": "201-830-3122",
            "fax_number": "201-200-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE A-4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-758-1500",
            "fax_number": "718-758-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "MATH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-830-3122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03234842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsway Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2013; 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.