NPIMap

Organization Active NPI

Innovative Medical Diagnostic Care, PC

  • Radiology Clinic/Center
  • New York, NY
National Provider Identifier
1669760666
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INNOVATIVE MEDICAL DIAGNOSTIC CARE, PC
Practice address
1825 Madison Ave
New York, NY 10035-3829
Phone
(212) 860-3500
Fax
(212) 860-3531
NPI assigned
Jul 12, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Satish Chandra, MD
Title
Medical Director
Phone
(212) 860-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1825 Madison Ave
New York, NY 10035-3829

Mailing address

PO Box 48340
Newark, NJ 07101-8540
Phone (212) 860-3500

National Provider Directory

National Provider Directory
Tax ID family
Innovative Medical Diagnostic Care PC2 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.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1669760666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48340",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018540",
            "telephone_number": "212-860-3500",
            "fax_number": "212-860-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353829",
            "telephone_number": "212-860-3500",
            "fax_number": "212-860-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL DIAGNOSTIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-860-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "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 Jul 13, 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.