Stockton MRI & Molecular Imaging Medical Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A49698 Issued in CA

Legal business name

STOCKTON MRI & MOLECULAR IMAGING MEDICAL CENTER, INC

Practice address

200 E 66TH St
Apt C-904
New York, NY 10065-9175

Phone

(212) 759-7511

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Javad Jamshidi, M.D.

Title

President

Phone

(209) 466-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1497151757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26570",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296570",
            "telephone_number": "209-466-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 66TH ST",
            "address_2": "APT C-904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100659175",
            "telephone_number": "212-759-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON MRI & MOLECULAR IMAGING MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDI",
        "authorized_official_first_name": "JAVAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-466-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A49698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Stocker Headley
• Elinor Stockheim, MD
• Jay B Stockman, OD
• Michele Stocknoff, LCSW
• Kachael Stocks, MFT
• Anne Stockton, MD
• Melissa Stockwell, MD
• Babeth Stoddart
• Lisa Stoddart, FNP
• Carolyn Lyndall Stodden, PT

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.