Organization Active NPI

Tristar Diagnostic

  • Radiology Clinic/Center
  • New York, NY
National Provider Identifier
1396928214
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TRISTAR DIAGNOSTIC
Practice address
3418 Broadway
New York, NY 10031-7419
Phone
(347) 853-0920
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Aftab Alam
Title
Director
Phone
(347) 853-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3418 Broadway
New York, NY 10031-7419

Mailing address

730 Grand Ave Ste 2L
Ridgefield, NJ 07657-1040

National Provider Directory

National Provider Directory

Locations

730 Grand Ave
Ste 2L
Ridgefield, NJ 07657

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1396928214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 GRAND AVE STE 2L",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317419",
            "telephone_number": "347-853-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "AFTAB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-853-0920"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.