Ridgewood Diagnostic Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

141316 Issued in NY

Legal business name

RIDGEWOOD DIAGNOSTIC IMAGING

Practice address

120 Erie Canal Dr
Rochester, NY 14626-4607

Phone

(585) 723-0111

NPI assigned

Apr 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kamal Kothari, MDNPI 1699739532

Title

Owner

Phone

(585) 723-0111

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kamal Kothari, MD

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1699739532
  NPD (past) Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710941901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LINDEN AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252716",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264607",
            "telephone_number": "585-723-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-723-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "141316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Anne Rider, MSW
• Ridgecrest Dental, P.C. (Ridgecrest Dental)
• Ridgeplex Internal Medicine, PLLC
• Ridgeview Internal Medicine Group, LLP
• Ridgeway Physical Therapy and Chiropractic PLLC
• Ridgewood Med-Peds, LLP (Ridgewood Med-Peds)
• Ridgewood Medical Group LLP
• Ridgewood Medical Health PLLC
• Kylie Madison Ridley, MD
• Trevorlyn A Ridley, LPN

• Diagnostic Radiology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.