NPIMap

Organization Active NPI

Central Park Diagnostic Inc

  • Radiology Clinic/Center
  • Bayonne, NJ
National Provider Identifier
1730411869
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
245082 Issued in NY
Legal business name
CENTRAL PARK DIAGNOSTIC INC
Practice address
280 Kennedy Blvd
Bayonne, NJ 07002-1234
Phone
(646) 391-3414
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Shahnoz Rustamova
Title
President
Phone
(646) 391-3414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 245082 NY Primary

Addresses

Primary practice location

280 Kennedy Blvd
Bayonne, NJ 07002-1234

Mailing address

280 Kennedy Blvd
Bayonne, NJ 07002-1234
Phone (646) 391-3414

National Provider Directory

National Provider Directory
Tax ID family
Central Park Diagnostic Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1730411869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021234",
            "telephone_number": "646-391-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021234",
            "telephone_number": "646-391-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "RUSTAMOVA",
        "authorized_official_first_name": "SHAHNOZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-391-3414"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "245082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.