Organization Active NPI

Quantum Medical Diagnostic, PC

  • General Practice Physician
  • Mount Vernon, NY
National Provider Identifier
1760929814
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QUANTUM MEDICAL DIAGNOSTIC, PC
Practice address
81 Sycamore Ave
Mount Vernon, NY 10553-1241
Phone
(914) 668-8254
NPI assigned
Jan 27, 2017
Last updated
Jan 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Andrew Cordaro
Title
MD
Phone
(914) 668-8254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

81 Sycamore Ave
Mount Vernon, NY 10553-1241

Mailing address

81 Sycamore Ave
Mount Vernon, NY 10553-1241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1760929814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SYCAMORE AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SYCAMORE AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531241",
            "telephone_number": "914-668-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM MEDICAL DIAGNOSTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "CORDARO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-668-8254"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.