NPIMap

Organization Active NPI

Radiological Diagnostic Center Medical Association PA

  • Specialist
  • Bronx, NY
National Provider Identifier
1720291362
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
103677 Issued in NY
Legal business name
RADIOLOGICAL DIAGNOSTIC CENTER MEDICAL ASSOCIATION PA
Practice address
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Phone
(718) 430-7388
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Stanley N Friedman, M.D.
Title
Supervisor
Phone
(718) 430-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 103677 NY Primary

Addresses

Primary practice location

2475 Saint Raymonds Ave
Bronx, NY 10461-3124

Mailing address

PO Box 5126
New York, NY 10087-5126
Phone (862) 307-1141

National Provider Directory

National Provider Directory
Tax ID family
Radiological Diagnostic Center Medical Association PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1720291362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5126",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875126",
            "telephone_number": "862-307-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 SAINT RAYMONDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613124",
            "telephone_number": "718-430-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGICAL DIAGNOSTIC CENTER MEDICAL ASSOCIATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "718-430-7388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "103677",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 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.