Organization Active NPI

Nostrand Diagnostics Corp.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1730820366
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NOSTRAND DIAGNOSTICS CORP.
Practice address
3858 Nostrand Ave Ste 201a
Brooklyn, NY 11235-2038
Phone
(929) 810-1718
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Givi Zeragia
Title
Owner
Phone
(929) 810-1718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3858 Nostrand Ave Ste 201a
Brooklyn, NY 11235-2038

Mailing address

3858 Nostrand Ave Ste 201a
Brooklyn, NY 11235-2038
Phone (929) 810-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220803000445 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2365824638 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3858 Nostrand Ave
Ste 201A
Brooklyn, NY 11235
Phone (929) 810-1718

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": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1730820366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 NOSTRAND AVE STE 201A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352038",
            "telephone_number": "929-810-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 NOSTRAND AVE STE 201A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352038",
            "telephone_number": "929-810-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRAND DIAGNOSTICS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "ZERAGIA",
        "authorized_official_first_name": "GIVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-810-1718"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.