CNN Diagnostic Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

CNN DIAGNOSTIC INC

Practice address

8710 Northern Blvd FL 2
Jackson Heights, NY 11372-1641

Phone

(347) 771-5099

Fax

(877) 796-4457

NPI assigned

Oct 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Carl A Nicoleau, MD, PHD

Title

Medical Director

Phone

(718) 344-5293

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Christine Marchetti, RVT, RDSC

  • Sonography Radiologic Technologist
  • Jackson Heights, NY
  • NPI 1508630344
  NPD

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1659153799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WINCHESTER DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453203",
            "telephone_number": "347-771-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 NORTHERN BLVD FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721641",
            "telephone_number": "347-771-5099",
            "fax_number": "877-796-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNN DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "NICOLEAU",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-344-5293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citypharma Inc (MedRite Pharmacy)
• Clear Vision Ophthalmology PLLC
• Gerald George Clement
• Luigi Clemente, CRC, LMHC
• Elizabeth Cloughen
• Cocos Vision
• Julia Colangelo
• Damaris Collado, PA
• Jinet Collado
• Brenda Yvette Collazos Moran

• Diagnostic Ultrasound Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Diagnostic Ultrasound Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.