Pdi Health CT LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PDI HEALTH CT LLC

Practice address

500 W Putnam Ave Ste 400
Greenwich, CT 06830-6096

Phone

(800) 749-9729

Fax

(877) 686-1540

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Menachem Tauber

Title

Ceo

Phone

(516) 517-4823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Pdi Health CT LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pdi Health CT LLC

  • Mobile Radiology Clinic/Center
  • Greenwich, CT
  • NPI 1215552716
  NPD tax ID

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Micalizzi, MD

  • Diagnostic Radiology Physician
  • Bridgeport, CT
  • NPI 1811982416
  NPD (past)
• Uchendu Azodo, M.D.

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1780690222
  NPD (past)
• Daniel S Gurell, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
  • NPI 1336164029
  NPD (past)
• Jeremy D Havas, D.O

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1043203003
  NPD (past)
• Naiyer Imam, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1992768147
  NPD (past)
• Norman E Pennington, MD

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1295728251
  NPD (past)
• Dishant G Shah, M.D.

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
  • NPI 1497963011
  NPD (past)
• Walter Uyesugi

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1386634202
  NPD (past)
• Elliott Jay Wagner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558312579
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1649895152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051892",
            "telephone_number": "516-517-4716",
            "fax_number": "877-686-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PUTNAM AVE STE 400",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306096",
            "telephone_number": "800-749-9729",
            "fax_number": "877-686-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI HEALTH CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-517-4823"
    },
    "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": []
}

• Susan Paul, P.A.
• Maia Natalia Pavlovic
• Wilma Katia Pazmino Villota, LMSW
• Valeria Cristina Pazo, M.D.,
• Pdi Health CT LLC
• Peak Wellness, Inc.
• Pearl Greenwich PLLC
• Taylor Pecora-Saipe, RN, NP
• Sean C Peden, M.D.
• Luisa Cristina Pellegrino, M.S

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.