Organization Active NPI

Comprehensive Medical Diagnostic, PC

  • Sonography Specialist/Technologist Cardiovascular
  • Brooklyn, NY
National Provider Identifier
1619103470
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
COMPREHENSIVE MEDICAL DIAGNOSTIC, PC
Practice address
2108 W 7TH St
Suite D
Brooklyn, NY 11223-3754
Phone
(347) 492-3500
Fax
(347) 492-3499
NPI assigned
Jun 8, 2009
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Kristina Mirbabayeva
Title
Manager
Phone
(347) 492-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X NU Primary
Vascular Sonography Radiologic Technologist 2471V0105X NU

Addresses

Primary practice location

2108 W 7TH St
Suite D
Brooklyn, NY 11223-3754

Mailing address

2108 W 7TH St
Suite D
Brooklyn, NY 11223-3754
Phone (347) 492-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1619103470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W 7TH ST",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233754",
            "telephone_number": "347-492-3500",
            "fax_number": "347-492-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W 7TH ST",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233754",
            "telephone_number": "347-492-3500",
            "fax_number": "347-492-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL DIAGNOSTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MIRBABAYEVA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-492-3500"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.