Eastside Private Diagnostic Imaging PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

EASTSIDE PRIVATE DIAGNOSTIC IMAGING PLLC

Practice address

106 E 61St St
New York, NY 10065-8102

Phone

(212) 751-9090

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Zaied Abbassi

Title

Billing Manager

Phone

(973) 321-3809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1790238772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658102",
            "telephone_number": "212-751-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PRIVATE DIAGNOSTIC IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "ZAIED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-321-3809"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.