Organization Active NPI

Professional Health Imaging,P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1508963547
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200451 Issued in NY
Legal business name
PROFESSIONAL HEALTH IMAGING,P.C.
Practice address
3802 14TH Ave
Brooklyn, NY 11218-3610
Phone
(718) 854-5400
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Stewart Bakst, M.D
Title
Owner
Phone
(718) 854-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 200451 NY Primary

Addresses

Primary practice location

3802 14TH Ave
Brooklyn, NY 11218-3610

Mailing address

3802 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 854-5400

Other names 1

  • Professional Health Imaging,P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

3802 14th Ave
Brooklyn, NY 11218
Phone (718) 462-5400

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1508963547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183610",
            "telephone_number": "718-854-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183610",
            "telephone_number": "718-854-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH IMAGING,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BAKST",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-854-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "200451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Health Imaging,P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 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.

Verify at the official NPI Registry.