Fastrad Pennsylvania LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

3050182 Issued in PA

Legal business name

FASTRAD PENNSYLVANIA LLC

Practice address

101 N 3Rd St
Brooklyn, NY 11211-3943

Phone

(718) 594-1001

NPI assigned

Sep 21, 2009

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Yu, M.D.

  • Diagnostic Radiology Physician
  • Toms River, NJ
  • NPI 1538156310
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1598099731",
    "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": "2009-09-21",
        "last_updated": "2009-09-21",
        "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": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "PA",
            "license": "3050182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Boris N Fatakhov, MD

• Mobile Radiology Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mobile Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.