Fastrad LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

FASTRAD LLC

Practice address

101 North 3Rd Street
Brooklyn, NY 11211

Phone

(718) 594-1001

Fax

(718) 594-1006

NPI assigned

May 5, 2006

Last updated

Dec 26, 2008By 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

Jordan Wexler

Title

Member

Phone

(718) 594-1001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FastRad LLC Other name

Medicare fee-for-service enrollment

Enrolled in NY, NJ4 enrollments

Enrollment records 4

Tax ID family

Fastrad LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Fastrad LLC

  • Physiological Laboratory
  • Brooklyn, NY
  • NPI 1831424845
  NPD tax ID
• Fastrad LLC

  • Physiological Laboratory
  • Howell, NJ
  • NPI 1386888576
  NPD tax ID
• Fastrad LLC

  • Mobile Radiology Clinic/Center
  • Chicago, IL
  • NPI 1881842961
  NPD tax ID

Locations

Practitioners 2

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.

• Mark Zombek, MD

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1073583928
  NPD
• Yisrael Kadosh, MD

  • Cardiovascular Disease Physician
  • Lakewood, NJ
  • NPI 1417917907
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1730137381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTH 3RD STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-594-1001",
            "fax_number": "718-594-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH 3RD STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-594-1001",
            "fax_number": "718-594-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-594-1001"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173371",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02830528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastRad LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Fasten
• Malka Fasten, SLP
• Miriam Fasten
• Fastrad Florida LLC
• Fastrad Florida LLC
• Fastrad LLC
• Fastrad Pennsylvania LLC
• Fastrad Pennsylvania LLC
• Venka D Fasulo, R.N
• Gerardina Elvira Fata, M.A.,CCC-SLP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.