Organization Active NPI

Riverside Medical Diagnostics, PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1669618203
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIVERSIDE MEDICAL DIAGNOSTICS, PLLC
Practice address
215 E 68TH St
Suite 8
New York, NY 10065-5718
Phone
(212) 288-2552
Fax
(212) 288-2553
NPI assigned
Jan 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Authorized official

Name
Andrew Joseph Martorella, MD
Title
Owner
Phone
(212) 288-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

215 E 68TH St
Suite 8
New York, NY 10065-5718

Mailing address

215 E 68TH St
Suite 8
New York, NY 10065-5718
Phone (212) 288-2552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1669618203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 68TH ST",
            "address_2": "SUITE 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655718",
            "telephone_number": "212-288-2552",
            "fax_number": "212-288-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 68TH ST",
            "address_2": "SUITE 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655718",
            "telephone_number": "212-288-2552",
            "fax_number": "212-288-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL DIAGNOSTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "MARTORELLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-288-2552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; 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.