Organization Active NPI

Onn Management LLC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1780973248
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
130208 Issued in OK
Legal business name
ONN MANAGEMENT LLC
Practice address
4334 Broadway
New York, NY 10033-2412
Phone
(212) 927-1717
Fax
(212) 927-5080
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Lenin Fermin
Title
President
Phone
(212) 927-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 130208 OK Primary

Addresses

Primary practice location

4334 Broadway
New York, NY 10033-2412

Mailing address

4334 Broadway
New York, NY 10033-2412
Phone (212) 927-1717

Other identifiers 1

IdentifierTypeStateIssuer
00756625MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1780973248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332412",
            "telephone_number": "212-927-1717",
            "fax_number": "212-927-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332412",
            "telephone_number": "212-927-1717",
            "fax_number": "212-927-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "FERMIN",
        "authorized_official_first_name": "LENIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-927-1717"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "130208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00756625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.