Professional Health Radiology P.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

200451 Issued in NY

Legal business name

PROFESSIONAL HEALTH RADIOLOGY P.C

Practice address

9828 Queens Blvd Ste 6
Rego Park, NY 11374-4257

Phone

(718) 755-1010

Fax

(718) 360-2279

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stewart Bakst, M.D

Title

Owner

Phone

(718) 755-1010

Specialties & licenses 1

Addresses

Other names 1

• Professional Health Radiology P.C Doing business as

Locations

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1376846774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 QUEENS BLVD STE 6",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744257",
            "telephone_number": "718-755-1010",
            "fax_number": "718-360-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 QUEENS BLVD STE 6",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744257",
            "telephone_number": "718-755-1010",
            "fax_number": "718-360-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH RADIOLOGY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "BAKST",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-755-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "200451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Health Radiology P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.