Active NPI
East Manhattan Diagnostic Imaging, P.C.
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1295788917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03234842 | Medicaid | NY |
Other names 1
- Kingsway Diagnostic Imaging
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1922051630
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"
}
]
}
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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.