Williamsburg Medical Imaging, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WILLIAMSBURG MEDICAL IMAGING, PC

Practice address

762 Bedford Avenue
Brooklyn, NY 11205-1508

Phone

(718) 947-2570

Fax

(718) 947-2571

NPI assigned

Jul 26, 2006

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda A. Carr, MD

Title

Diagnostic Radiologist

Phone

(718) 947-2570

Specialties & licenses 2

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Charles L. Cooper, M.D.

  • Diagnostic Radiology Physician
  • Rego Park, NY
  • NPI 1205836590
  NPD (past)
• Charles J. Demarco, M.D.

  • Diagnostic Radiology Physician
  • Rego Park, NY
  • NPI 1285634576
  NPD (past)
• Daniel Schlusselberg, MD

  • Diagnostic Radiology Physician
  • Rego Park, NY
  • NPI 1659347110
  NPD (past)
• David Alan Green, M.D.

  • Diagnostic Radiology Physician
  • Summit, NJ
  • NPI 1245226125
  NPD (past)
• Michael A. Mecca, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1992729727
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1417970773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 BEDFORD AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051508",
            "telephone_number": "718-947-2570",
            "fax_number": "718-947-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 BEDFORD AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051508",
            "telephone_number": "718-947-2570",
            "fax_number": "718-947-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG MEDICAL IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIAGNOSTIC RADIOLOGIST",
        "authorized_official_telephone_number": "718-947-2570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02840944",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100054722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Dental PLLC
• Williamsburg Infant & Early Childhood Development Center, Inc. (Eis Laasois Child Development Services)
• Williamsburg Infant & Early Childhood Development Center, Inc. (Eis Laasois Child Development Services)
• Williamsburg Infant and Early Childhood Development Center
• Williamsburg Medical Care PC
• Williamsburg Medical Plaza PC
• Williamsburg Nurse Practitioner in Psychiatry and Family Health PLLC
• Williamsburg Outreach Inc
• Williamsburg Pediatrics, PC
• Williamsburg Pharmacy & Surgical Supply Inc

• 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 Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.