Organization Active NPI

Sonus Medical PC

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1639494941
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
105860 Issued in NY
Legal business name
SONUS MEDICAL PC
Practice address
13656 39TH Ave Ste 303B
Flushing, NY 11354-5508
Phone
(646) 450-7345
Fax
(888) 834-1080
NPI assigned
Mar 30, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Jeffrey An
Title
Administrator
Phone
(646) 450-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 105860 NY Primary

Addresses

Primary practice location

13656 39TH Ave Ste 303B
Flushing, NY 11354-5508

Mailing address

PO Box 578
Allendale, NJ 07401-0578
Phone (646) 450-7345

National Provider Directory

National Provider Directory

Locations

13656 39th Ave
Ste 303B
Flushing, NY 11354
Phone (646) 450-7345

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1639494941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074010578",
            "telephone_number": "646-450-7345",
            "fax_number": "888-834-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 39TH AVE STE 303B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545508",
            "telephone_number": "646-450-7345",
            "fax_number": "888-834-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONUS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-450-7345"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "105860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.