Organization Active NPI

Wein Diagnostic Medical Services PC

  • Body Imaging Physician
  • Bronx, NY
National Provider Identifier
1710996889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
140221 Issued in NY
Legal business name
WEIN DIAGNOSTIC MEDICAL SERVICES PC
Practice address
2781 3Rd Ave
Bronx, NY 10455-4002
Phone
(718) 267-8196
NPI assigned
Aug 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elliott Wein, M.D.
Title
Owner
Phone
(718) 267-8196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X 140221 NY Primary

Addresses

Primary practice location

2781 3Rd Ave
Bronx, NY 10455-4002

Mailing address

2106 23Rd St
Astoria, NY 11105-3625
Phone (718) 267-8196

Other identifiers 2

IdentifierTypeStateIssuer
00870842MedicaidNY
1477578177OtherNYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710996889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 23RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053625",
            "telephone_number": "718-267-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554002",
            "telephone_number": "718-267-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIN DIAGNOSTIC MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-267-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "140221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00870842",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477578177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • 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.