Active NPI
Modern Medical Testing, P.C.
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Brooklyn, NY
National Provider Identifier
1639600604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- MODERN MEDICAL TESTING, P.C.
- Practice address
- 3048 Brighton 1St St
Suite 205
Brooklyn, NY 11235-8080 - Phone
- (718) 942-5440
- NPI assigned
- Mar 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marina Brooks
- Title
- Manager
- Phone
- (718) 942-5440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
3048 Brighton 1St St
Suite 205
Brooklyn, NY 11235-8080
Mailing address
3048 Brighton 1St St
Suite 205
Brooklyn, NY 11235-8080
National Provider Directory
National Provider DirectoryLocations
3048 Brighton 1st St
Ste 205
Brooklyn, NY 11235
Phone (718) 934-0021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1639600604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 BRIGHTON 1ST ST",
"address_2": "SUITE 205",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 BRIGHTON 1ST ST",
"address_2": "SUITE 205",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358080",
"telephone_number": "718-942-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN MEDICAL TESTING, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-942-5440"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.