Organization Active NPI

Advanced Metropolitan Radiology LLC

  • Neuroradiology Physician
  • Wellington, FL
National Provider Identifier
1386034668
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
Legal business name
ADVANCED METROPOLITAN RADIOLOGY LLC
Practice address
9425 Worswick CT
Wellington, FL 33414-6423
Phone
(646) 519-1479
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Sandra P Tobon, M.D.
Title
Owner
Phone
(646) 519-1479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X NU Primary
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

9425 Worswick CT
Wellington, FL 33414-6423

Mailing address

9425 Worswick CT
Wellington, FL 33414-6423
Phone (646) 519-1479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1386034668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 WORSWICK CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146423",
            "telephone_number": "646-519-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 WORSWICK CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146423",
            "telephone_number": "646-519-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED METROPOLITAN RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "TOBON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-519-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.