Active NPI
Precision Medical Diagnostic PLLC
- Nuclear Medicine Technology Radiologic Technologist
- Whitestone, NY
National Provider Identifier
1508196569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- Legal business name
- PRECISION MEDICAL DIAGNOSTIC PLLC
- Practice address
- 1752 Francis Lewis Blvd
Whitestone, NY 11357-3247 - Phone
- (718) 746-9494
- Fax
- (718) 746-4963
- NPI assigned
- Jan 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aasha Gopal, M.D.
- Title
- Director
- Phone
- (718) 746-9494
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | |||
| Cardiovascular-Interventional Technology Radiologic Technologist | 2471C1101X | |||
| Cardiac-Interventional Technology Radiologic Technologist | 2471C1106X | |||
| Radiography Radiologic Technologist | 2471C3402X | |||
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | NY | Primary | |
| Sonography Radiologic Technologist | 2471S1302X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
1752 Francis Lewis Blvd
Whitestone, NY 11357-3247
Mailing address
PO Box 1318
Syosset, NY 11791-0020
Phone (718) 746-9494
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1508196569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1318",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117910020",
"telephone_number": "718-746-9494",
"fax_number": "718-746-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 FRANCIS LEWIS BLVD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573247",
"telephone_number": "718-746-9494",
"fax_number": "718-746-4963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION MEDICAL DIAGNOSTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "GOPAL",
"authorized_official_first_name": "AASHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-746-9494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C1106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Cardiac-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471N0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.