K & G Ultrasound Diagnostic Medical Laboratory Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

K & G ULTRASOUND DIAGNOSTIC MEDICAL LABORATORY INC

Practice address

1452 Flatbush Avenue
Brooklyn, NY 11210

Phone

(718) 421-6363

Fax

(718) 421-6363

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Zina Gubich, CDMS CUT CDCS

Title

President Group Administrator

Phone

(718) 421-6363

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mladen Solar, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1780677823
  Medicare reassignment Care Compare group NPD
• Clifford Beinart, M.D.

  • Diagnostic Radiology Physician
  • New Paltz, NY
  • NPI 1396701678
  Medicare reassignment Care Compare group
• Genrietta Gordon, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1134232903
  NPD (past)
• Muza Guzband, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1730297268
  NPD (past)
• Lubov T Klimova, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1477653798
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1386834364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 FLATBUSH AVENUE",
            "address_2": "K & G ULTRASOUND DIAGNOSTIC MED LAB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "718-421-6363",
            "fax_number": "941-429-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 FLATBUSH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "718-421-6363",
            "fax_number": "718-421-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & G ULTRASOUND DIAGNOSTIC MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "GUBICH",
        "authorized_official_first_name": "ZINA",
        "authorized_official_title_or_position": "PRESIDENT GROUP ADMINISTRATOR",
        "authorized_official_telephone_number": "718-421-6363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDMS CUT CDCS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "84548",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00718176",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "97907",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GLOBAL",
            "identifier": "W93751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.