NPIMap

Organization Active NPI

East Manhattan Diagnostic Imaging, P.C.

Doing business as Dove Open MRI

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1558313593
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.
Doing business as
Dove Open MRI
Practice address
604 2ND Ave
New York, NY 10016-4859
Phone
(212) 683-6200
Fax
(212) 683-2992
NPI assigned
May 17, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Kevin Math, MDNPI 1447291968
Title
Medical Director
Phone
(201) 830-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

604 2ND Ave
New York, NY 10016-4859

Mailing address

PO Box 10270
Uniondale, NY 11555-0270
Phone (201) 830-3122

Other identifiers 1

IdentifierTypeStateIssuer
02459263MedicaidNY

Other names 1

  • Dove Open MRI Doing business as

National Provider Directory

National Provider Directory
Part of
East Manhattan Diagnost

Locations

604 2nd Ave
New York, NY 10016
Phone (212) 683-6200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 124

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1558313593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10270",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115550270",
            "telephone_number": "201-830-3122",
            "fax_number": "201-200-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164859",
            "telephone_number": "212-683-6200",
            "fax_number": "212-683-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST MANHATTAN DIAGNOSTIC IMAGING, P.C.",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MATH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-830-3122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.