Active NPI
Tristar Diagnostic
- Radiology Clinic/Center
- New York, NY
National Provider Identifier
1396928214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.