Organization Active NPI

Dra Imaging, PC

  • Diagnostic Radiology Physician
  • Lagrangeville, NY
National Provider Identifier
1831481167
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DRA IMAGING, PC
Practice address
1351 Route 55
First Floor
Lagrangeville, NY 12540-5118
Phone
(845) 454-4700
Fax
(845) 790-5719
NPI assigned
May 4, 2011
Organization subpart
Yes
Parent organization
DRA IMAGING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Richard J Friedland, MD
Title
Ceo
Phone
(845) 454-4700

Specialties & licenses 1

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

Addresses

Primary practice location

1351 Route 55
First Floor
Lagrangeville, NY 12540-5118

Mailing address

169 Myers Corners Rd Ste 250
Wappingers Falls, NY 12590-3868
Phone (845) 454-4700

Other identifiers 1

IdentifierTypeStateIssuer
00424951MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dra Imaging PC2 organizations share this tax ID, including this one
Part of
Dra Imaging PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1831481167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MYERS CORNERS RD STE 250",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903868",
            "telephone_number": "845-454-4700",
            "fax_number": "845-790-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55",
            "address_2": "FIRST FLOOR",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405118",
            "telephone_number": "845-454-4700",
            "fax_number": "845-790-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA IMAGING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRA IMAGING, PC",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "FRIEDLAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-454-4700",
        "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": "00424951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.