Diagnostic Breast Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

154161 Issued in PA

Legal business name

DIAGNOSTIC BREAST CENTER

Practice address

3475 W Chester Pike
Ste 240
Newtown Square, PA 19073-4280

Phone

(610) 356-9030

Fax

(610) 356-9036

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Kubek, M.D.NPI 1982645867

Title

Owner/Director

Phone

(610) 356-9030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly A Kubek, M.D.

  • Diagnostic Radiology Physician
  • Newtown Square, PA
  • NPI 1982645867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811932932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "STE 240",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-356-9030",
            "fax_number": "610-356-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "STE 240",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-356-9030",
            "fax_number": "610-356-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC BREAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "610-356-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "154161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Dehmey, LPC
• Delco Ambulance LLC
• Carmia Maria Delpizzo, OTR/L
• Maria C Demario, DO
• Dermatology Associates of Delaware Valley PC
• Arren Marie Dibattista, CRNP
• Lynne S Dicaprio, MA
• Lindsey Dickerson
• Dominique Marie Dietz
• Jill Marie Difebbo, MS, CCC-SLP

• Clinic/Center in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.