Organization Active NPI

Leading Edge Medical Diagnostic PC

  • Diagnostic Radiology Physician
  • Newburgh, NY
National Provider Identifier
1467761957
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LEADING EDGE MEDICAL DIAGNOSTIC PC
Practice address
290 Broadway
Ste 1
Newburgh, NY 12550-5301
Phone
(845) 562-4545
Fax
(845) 562-4545
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Daniel Schlusselberg, MD
Title
President
Phone
(845) 304-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

290 Broadway
Ste 1
Newburgh, NY 12550-5301

Mailing address

290 Broadway Ste 1
Newburgh, NY 12550-5301
Phone (845) 562-4545

National Provider Directory

National Provider Directory

Locations

333 Broadway
#2
Newburgh, NY 12550
Phone (845) 562-4545

290 Broadway
Ste 1
Newburgh, NY 12550
Phone (845) 562-4545

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1467761957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BROADWAY STE 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505301",
            "telephone_number": "845-562-4545",
            "fax_number": "845-562-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BROADWAY",
            "address_2": "STE 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505301",
            "telephone_number": "845-562-4545",
            "fax_number": "845-562-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE MEDICAL DIAGNOSTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "SCHLUSSELBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-304-3641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.