Organization Active NPI

Pet-CT Radiology PLLC

  • Customized Equipment (DME)
  • Brooklyn, NY
National Provider Identifier
1366681066
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PET-CT RADIOLOGY PLLC
Practice address
8715 5TH Ave
Brooklyn, NY 11209-5230
Phone
(718) 836-2200
Fax
(718) 836-2226
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Serge Somrov, M.D.
Title
President
Phone
(718) 836-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

8715 5TH Ave
Brooklyn, NY 11209-5230

Mailing address

8715 5TH Ave
Brooklyn, NY 11209-5230
Phone (718) 836-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1366681066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095230",
            "telephone_number": "718-836-2200",
            "fax_number": "718-836-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095230",
            "telephone_number": "718-836-2200",
            "fax_number": "718-836-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET-CT RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "SOMROV",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-836-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.