Active NPI
Professional Health Imaging,P.C.
- Specialist
- Brooklyn, NY
National Provider Identifier
1508963547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 200451
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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.
National Provider Directory
National Provider DirectoryLocations
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
- Juliana Profaci
- Connie Profesorske
- Mark Profesorske, NP
- Professional Counseling Services LCSW PLLC
- Professional Educational Consulting by Rebecca LLC
- Professional Medical Arts, P.C.
- Professional Medical Health Care Services PC
- Professional Medical Healthcare P.C.
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
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.