Organization Active NPI

Brmi @ 3Rd Avenue

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1508225822
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BRMI @ 3RD AVENUE
Practice address
7601 4TH Ave
Brooklyn, NY 11209-3207
Phone
(718) 238-7000
NPI assigned
Feb 15, 2016
Organization subpart
Yes
Parent organization
BAY RIDGE MEDICAL IMAGING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Shahrokh Abiri, M.D.
Title
President
Phone
(718) 238-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

7601 4TH Ave
Brooklyn, NY 11209-3207

Mailing address

6700 3Rd Ave
Brooklyn, NY 11220-5203
Phone (718) 238-7000

Other identifiers 1

IdentifierTypeStateIssuer
02390045MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Bay Ridge Medical Imagi7 organizations share this tax ID, including this one
Part of
Bay Ridge Medical Imagi

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1508225822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205203",
            "telephone_number": "718-238-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093207",
            "telephone_number": "718-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRMI @ 3RD AVENUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY RIDGE MEDICAL IMAGING, PC",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "ABIRI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02390045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.