Crescent Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CRESCENT RADIOLOGY PLLC

Practice address

2747 Crescent St
Suite 107
Astoria, NY 11102-3142

Phone

(718) 507-4700

NPI assigned

Jul 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles J Demarco, MD

Title

Director

Phone

(718) 507-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Neda Riahi Vanden Bosch, MD

  • Diagnostic Radiology Physician
  • Lake Worth, FL
  • NPI 1568491009
  NPD (past)

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1790975498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 107",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-507-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 107",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-507-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-29",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-507-4700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02917944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crescent Endoscopy PC
• Crescent Organix Pharmacy LLC
• Crescent Organix Pharmacy LLC
• Crescent Pharmacy Inc
• Crescent Physical Therapy P.C.
• Cresent Endoscopy Center Inc
• Sheila Criss, RPA
• Bernard A Crowl Jr.
• Crown Chemists LTD
• Brittney Amber Cruz

• Diagnostic Radiology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.