Organization Active NPI

Eastside Diagnostic Imaging

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1487669065
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EASTSIDE DIAGNOSTIC IMAGING
Practice address
106 E 61St St
New York, NY 10021-8102
Phone
(212) 751-9090
Fax
(212) 751-9089
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Marc E. Liebeskind, M.D.
Title
President
Phone
(212) 751-9090

Specialties & licenses 1

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

Addresses

Primary practice location

106 E 61St St
New York, NY 10021-8102

Mailing address

106 E 61St St
New York, NY 10021-8102
Phone (212) 751-9090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1487669065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218102",
            "telephone_number": "212-751-9090",
            "fax_number": "212-751-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218102",
            "telephone_number": "212-751-9090",
            "fax_number": "212-751-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "LIEBESKIND",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-751-9090",
        "authorized_official_credential": "M.D."
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.