Organization Active NPI

Nova Diagnostic Services LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Woodmere, NY
National Provider Identifier
1760266357
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
NOVA DIAGNOSTIC SERVICES LLC
Practice address
12 Franklin PL
Woodmere, NY 11598-1294
Phone
(516) 862-4900
Fax
(516) 862-4902
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Efraim Elchonen
Title
Owner
Phone
(718) 744-4705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X Primary

Addresses

Primary practice location

12 Franklin PL
Woodmere, NY 11598-1294

Mailing address

12 Franklin PL
Woodmere, NY 11598-1294
Phone (516) 862-4900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1760266357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981294",
            "telephone_number": "516-862-4900",
            "fax_number": "516-862-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981294",
            "telephone_number": "516-862-4900",
            "fax_number": "516-862-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "ELCHONEN",
        "authorized_official_first_name": "EFRAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-744-4705"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.