Organization Active NPI

Complete Radiology, P.C.

  • Radiology Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1619195963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
180577 Issued in NY
Legal business name
COMPLETE RADIOLOGY, P.C.
Practice address
3852 Nostrand Ave
Brooklyn, NY 11235-2013
Phone
(718) 743-2300
Fax
(718) 769-5512
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert D. Solomon, M.D.
Title
Medical Director
Phone
(718) 743-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 180577 NY Primary

Addresses

Primary practice location

3852 Nostrand Ave
Brooklyn, NY 11235-2013

Mailing address

3852 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 743-2300

Other identifiers 1

IdentifierTypeStateIssuer
4198755OtherNYGHI

National Provider Directory

National Provider Directory

Locations

3852 Nostrand Ave
Brooklyn, NY 11235
Phone (718) 723-4300

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619195963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352013",
            "telephone_number": "718-743-2300",
            "fax_number": "718-769-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352013",
            "telephone_number": "718-743-2300",
            "fax_number": "718-769-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE RADIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-743-2300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "180577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4198755",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.