Northeast Services 5 Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

NORTHEAST SERVICES 5 INC

Practice address

13844C Queens Blvd Ste 213
Briarwood, NY 11435-2642

Phone

(404) 388-6686

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Nate Hollander

Title

President

Phone

(404) 388-6686

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1336644384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 NW 13TH ST STE C13",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13844C QUEENS BLVD STE 213",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352642",
            "telephone_number": "404-388-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SERVICES 5 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-388-6686"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Natanov, NP
• Larisa Natanov, PHARM.D.
• Shanna Nichols, LCSW
• Maksim Nisenboym, PA
• Bella Niyazova
• Michael Notkin
• Nneoma Akwarandu Nwuzor, NYS RN
• Ny Therapy for Kids, Inc.
• Emmanuel Oszwa Odigie
• Uwadiae Odigie

• Mobile Radiology Clinic/Center in Briarwood, NY
• Providers in Briarwood, NY by specialty
• Mobile Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.