Organization Active NPI

Optimum Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Woodmere, NY
National Provider Identifier
1699023887
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
OPTIMUM DIAGNOSTICS
Practice address
317 Eastwood Rd
Woodmere, NY 11598-1635
Phone
(917) 295-3617
NPI assigned
Aug 21, 2012
Organization subpart
Yes
Parent organization
OPTIMUM DIAGNOSTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Josh Greenbaum
Title
President
Phone
(917) 295-3617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

317 Eastwood Rd
Woodmere, NY 11598-1635

Mailing address

317 Eastwood Rd
Woodmere, NY 11598-1635
Phone (917) 295-3617

National Provider Directory

National Provider Directory
Part of
Optimum Diagnostics

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1699023887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 EASTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981635",
            "telephone_number": "917-295-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EASTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981635",
            "telephone_number": "917-295-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DIAGNOSTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM DIAGNOSTICS",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-295-3617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.