Medical Diagnostic Imaging PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MEDICAL DIAGNOSTIC IMAGING PLLC

Practice address

14 Raymond Ave
Poughkeepsie, NY 12603-2312

Phone

(845) 471-2848

Fax

(845) 471-2919

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Michael Waldman, MDNPI 1467434613

Title

President

Phone

(203) 818-1165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL, NJ, LA, NC, PA, MO, MD, AZ9 enrollments

Enrollment records 9

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medical Diagnostic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medical Diagnostic Imaging PLLC

  • Radiology Clinic/Center
  • Wappingers Falls, NY
  • NPI 1023435971
  NPD tax ID

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E Waldman, MD

  • Diagnostic Radiology Physician
  • Middletown, NY
  • NPI 1467434613

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Joseph C Antonio, MD

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1922007632

  NY

  Medicare reassignment Care Compare group NPD
• Lawrence Angelo Cicchiello, M.D.

  • Diagnostic Radiology Physician
  • Middletown, NY
  • NPI 1740451152

  NY

  Medicare reassignment Care Compare group NPD
• Reubin Pooya Davoudzadeh, M.D.

  • Diagnostic Radiology Physician
  • Port Jefferson, NY
  • NPI 1306145057

  NY

  Medicare reassignment Care Compare group NPD
• Karen D Ernst, M.D.

  • Diagnostic Radiology Physician
  • Glens Falls, NY
  • NPI 1851386403

  NY

  Medicare reassignment Care Compare group NPD
• Lisa Ann Fisher, MD

  • Diagnostic Radiology Physician
  • Middletown, NY
  • NPI 1336165471

  NJ, NY

  Medicare reassignment Care Compare group NPD
• Gary David Grossman, MD

  • Vascular & Interventional Radiology Physician
  • Poughkeepsie, NY
  • NPI 1275507154

  NY

  Medicare reassignment Care Compare group NPD
• Jared Michael Okun, MD

  • Diagnostic Radiology Physician
  • Mineola, NY
  • NPI 1255860011

  NJ, NY

  Medicare reassignment Care Compare group NPD
• Paul F Pizzella, MD

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1225045685

  NY

  Medicare reassignment Care Compare group NPD
• Joseph Louis Racanelli, MD

  • Diagnostic Radiology Physician
  • Middletown, NY
  • NPI 1639194921

  NJ, NY

  Medicare reassignment Care Compare group NPD
• Michal Zidon, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1235266933

  NY

  Medicare reassignment Care Compare group NPD
• Daniel Marc Eisman, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1740635036

  Multi-Specialty, NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1760435291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RAYMOND AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032312",
            "telephone_number": "845-471-2848",
            "fax_number": "845-471-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RAYMOND AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032312",
            "telephone_number": "845-471-2848",
            "fax_number": "845-471-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-818-1165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meals on Wheels of Greater Poughkeepsie
• Simona Meca, MD
• Medi Livery Services LLC
• Medical Associates of the Hudson Valley
• Medical Associates of the Hudson Valley
• Medical Ped Crit Care PLLC
• Michael J. Medler, DDS
• Medstar Surgical
• Meera P Lobo MD PC
• Heeral Mehta, PT, DPT

• All providers in Poughkeepsie, NY
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.