NPIMap

Organization Active NPI

Dra Imaging, PC

  • Diagnostic Radiology Physician
  • Fishkill, NY
National Provider Identifier
1649561291
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DRA IMAGING, PC
Practice address
400 Westage Business Ctr Dr
Fishkill, NY 12524-2223
Phone
(845) 454-4700
Fax
(845) 790-5719
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DRA IMAGING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Richard J Friedland, MDNPI 1376543231
Title
Ceo
Phone
(845) 454-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

400 Westage Business Ctr Dr
Fishkill, NY 12524-2223

Mailing address

169 Myers Corners Rd
Suite 250
Wappingers Falls, NY 12590-3867
Phone (845) 454-4700

Other identifiers 1

IdentifierTypeStateIssuer
00424951MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Russell Karpmd2 organizations share this tax ID, including this one
Part of
Russell Karpmd

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1649561291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MYERS CORNERS RD",
            "address_2": "SUITE 250",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903867",
            "telephone_number": "845-454-4700",
            "fax_number": "845-790-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUSINESS CTR DR",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242223",
            "telephone_number": "845-454-4700",
            "fax_number": "845-790-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA IMAGING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRA IMAGING, PC",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDLAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-454-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00424951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.