Organization Active NPI

Brmi @ Midwood

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1376902148
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BRMI @ MIDWOOD
Practice address
2005 Coney Island Ave
Brooklyn, NY 11223-2328
Phone
(718) 238-7000
NPI assigned
Feb 22, 2016
Organization subpart
Yes
Parent organization
BAY RIDGE MEDICAL IMAGING, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. Shahrokh Abiri, M.D.
Title
President
Phone
(718) 238-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

2005 Coney Island Ave
Brooklyn, NY 11223-2328

Mailing address

7601 4TH Ave
Brooklyn, NY 11209-3207
Phone (718) 238-7000

Other identifiers 1

IdentifierTypeStateIssuer
02390045MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Bay Ridge Medical Imagi7 organizations share this tax ID, including this one
Part of
Bay Ridge Medical Imagi

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1376902148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093207",
            "telephone_number": "718-238-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232328",
            "telephone_number": "718-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRMI @ MIDWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY RIDGE MEDICAL IMAGING, P.C.",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "ABIRI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02390045",
            "state": "NY"
        }
    ],
    "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 Mar 8, 2016; 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.