Organization Active NPI

Magnifique Ultrasound LLC

  • Diagnostic Ultrasound Physician
  • Great Neck, NY
National Provider Identifier
1346678497
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
MAGNIFIQUE ULTRASOUND LLC
Practice address
1 Wycham PL
Great Neck, NY 11021-2518
Phone
(516) 487-3519
Fax
(516) 487-3811
NPI assigned
Oct 29, 2013
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mr. Afshin Sabzehroo
Title
Owner/President
Phone
(516) 487-3519

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X
Diagnostic Radiology Physician 2085R0202X
Diagnostic Ultrasound Physician 2085U0001X Primary
Cardiology Technician 246W00000X
Other Specialist/Technologist 246Z00000X
Radiologic Technologist 247100000X

Addresses

Primary practice location

1 Wycham PL
Great Neck, NY 11021-2518

Mailing address

1 Wycham PL
Great Neck, NY 11021-2518
Phone (516) 487-3519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1346678497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYCHAM PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212518",
            "telephone_number": "516-487-3519",
            "fax_number": "516-487-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYCHAM PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212518",
            "telephone_number": "516-487-3519",
            "fax_number": "516-487-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFIQUE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SABZEHROO",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-487-3519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.