Apollo Diagnostic Radiology, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

APOLLO DIAGNOSTIC RADIOLOGY, PC

Practice address

11120 Queens Blvd
Forest Hills, NY 11375-6303

Phone

(718) 263-2208

Fax

(718) 263-3442

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Robert Solomon, OWNER

Title

Owner

Phone

(718) 263-2208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• APOLLO DIAGNOSTIC RADIOLOGY, PC Doing business as

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1669046561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756303",
            "telephone_number": "718-263-2208",
            "fax_number": "718-263-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756303",
            "telephone_number": "718-263-2208",
            "fax_number": "718-263-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO DIAGNOSTIC RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-263-2208",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOLLO DIAGNOSTIC RADIOLOGY, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.