Fastrad Pennsylvania LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

FASTRAD PENNSYLVANIA LLC

Practice address

101 N 3Rd St
Brooklyn, NY 11211-3943

Phone

(718) 594-1001

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Wexler

Title

Member

Phone

(718) 594-1001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1598099582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113943",
            "telephone_number": "718-594-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAD PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-594-1001"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Fasten
• Fastrad Florida LLC
• Fastrad Florida LLC
• Fastrad LLC
• Fastrad LLC
• Fastrad Pennsylvania LLC
• Venka D Fasulo, R.N
• Gerardina Elvira Fata, M.A.,CCC-SLP
• Fayoke Fatade, RN
• Nadia Fatahi

• Physiological Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physiological Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.