NPIMap

Organization Active NPI

Brooklyn Nuclear Spect Imaging, P.C

  • Cardiovascular Disease Physician
  • Elmont, NY
National Provider Identifier
1306012208
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
170563-1 Issued in NY
Legal business name
BROOKLYN NUCLEAR SPECT IMAGING, P.C
Practice address
1 Plainfield Ave
Elmont, NY 11003-1263
Phone
(516) 326-7772
Fax
(516) 326-2749
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Robert Aldo Vaccarino, M.D., FACC, CBNCNPI 1922086354
Title
President
Phone
(718) 837-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 170563-1 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 170563-1 NY Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X 170563-1 NY

Addresses

Primary practice location

1 Plainfield Ave
Elmont, NY 11003-1263

Mailing address

1435 86TH St
Brooklyn, NY 11228-3403
Phone (718) 837-0010

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Nuclear Spect Imaging PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Plainfield Ave
Elmont, NY 11003
Phone (516) 326-7772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1306012208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283403",
            "telephone_number": "718-837-0010",
            "fax_number": "718-837-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAINFIELD AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031263",
            "telephone_number": "516-326-7772",
            "fax_number": "516-326-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN NUCLEAR SPECT IMAGING, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "VACCARINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-837-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACC, CBNC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170563-1",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "170563-1",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "170563-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.