Individual provider Active NPI

Aljon Bushati

  • Sonography Radiologic Technologist
  • Ridgewood, NY
National Provider Identifier
1558800565
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
00097874 Issued in NY
Practice address
6113 Menahan St FL 2
Ridgewood, NY 11385-2627
Phone
(347) 206-3119
NPI assigned
Feb 23, 2017
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 00097874 NY Primary

Addresses

Primary practice location

6113 Menahan St FL 2
Ridgewood, NY 11385-2627

Mailing address

6113 Menahan St FL 2
Ridgewood, NY 11385-2627
Phone (347) 206-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00097874NYMDSonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1558800565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 MENAHAN ST FL 2",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852627",
            "telephone_number": "347-206-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 MENAHAN ST FL 2",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852627",
            "telephone_number": "347-206-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHATI",
        "first_name": "ALJON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NY",
            "license": "00097874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.