NPIMap

Organization Active NPI

Inwood Medical Diagnostic, P.C.

  • Radiology Clinic/Center
  • New York, NY
National Provider Identifier
1356782916
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
119573 Issued in NY
Legal business name
INWOOD MEDICAL DIAGNOSTIC, P.C.
Practice address
629 W 185TH St BSMT
New York, NY 10033-3102
Phone
(212) 781-1900
Fax
(212) 781-7359
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Mr. Lenin Fermin
Title
Manager
Phone
(212) 781-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 119573 NY Primary

Addresses

Primary practice location

629 W 185TH St BSMT
New York, NY 10033-3102

Mailing address

PO Box 763
New York, NY 10033-0594
Phone (212) 781-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1356782916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100330594",
            "telephone_number": "212-781-1900",
            "fax_number": "212-781-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST BSMT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-781-1900",
            "fax_number": "212-781-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWOOD MEDICAL DIAGNOSTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "FERMIN",
        "authorized_official_first_name": "LENIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-781-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "119573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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