Organization Active NPI

Sophisticated Imaging Inc

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1679983316
Registry record updated May 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOPHISTICATED IMAGING INC
Practice address
9020 5TH Ave
Suite a
Brooklyn, NY 11209-5908
Phone
(917) 421-9808
NPI assigned
May 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2014

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

Authorized official

Name
Tea Kaganovich
Title
Director
Phone
(917) 862-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9020 5TH Ave
Suite a
Brooklyn, NY 11209-5908

Mailing address

1230 Avenue Y
Apt A8
Brooklyn, NY 11235-4271
Phone (917) 862-0406

National Provider Directory

National Provider Directory

Locations

56 Linden St
Ste 1A
Hackensack, NJ 07601
Phone (551) 333-3456

9020 5th Ave
Ste A
Brooklyn, NY 11209
Phone (917) 421-9808

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399075200000",
    "number": "1679983316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 AVENUE Y",
            "address_2": "APT A8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354271",
            "telephone_number": "917-862-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 5TH AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095908",
            "telephone_number": "917-421-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHISTICATED IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-03",
        "last_updated": "2014-05-03",
        "status": "A",
        "authorized_official_last_name": "KAGANOVICH",
        "authorized_official_first_name": "TEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-862-0406"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; 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.