NPIMap

Organization Active NPI

Advanced Imaging Diagnostics

  • Nuclear Cardiology Physician
  • Silver Spring, MD
National Provider Identifier
1487435087
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
ADVANCED IMAGING DIAGNOSTICS
Doing business as
Advanced Imaging Diagnostics
Practice address
12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655
Phone
(240) 899-5315
Fax
(240) 645-4013
NPI assigned
Oct 10, 2023
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Jeanpaul N Noummy Jr.
Title
Owner
Phone
(240) 899-5315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X Primary

Addresses

Primary practice location

12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655

Mailing address

PO Box 4815
Silver Spring, MD 20914-4815
Phone (240) 899-5315

Other names 1

  • ADVANCED IMAGING DIAGNOSTICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Imaging Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12501 Prosperity Dr
Ste 330
Silver Spring, MD 20904
Phone (301) 592-1780

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1487435087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4815",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209144815",
            "telephone_number": "240-899-5315",
            "fax_number": "240-645-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041655",
            "telephone_number": "240-899-5315",
            "fax_number": "240-645-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "NOUMMY",
        "authorized_official_first_name": "JEANPAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-899-5315",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED IMAGING DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.