Organization Active NPI

Nassau Medical Imaging, PA

  • Diagnostic Radiology Physician
  • Fernandina Beach, FL
National Provider Identifier
1841265386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NASSAU MEDICAL IMAGING, PA
Practice address
1250 S 8TH St
Fernandina Beach, FL 32034-3067
Phone
(216) 464-5160
NPI assigned
Feb 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harris Freed, M.D.
Title
President
Phone
(216) 464-5160

Specialties & licenses 1

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

Addresses

Primary practice location

1250 S 8TH St
Fernandina Beach, FL 32034-3067

Mailing address

1250 S 8TH St
Fernandina Beach, FL 32034-3067
Phone (216) 464-5160

National Provider Directory

National Provider Directory

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": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841265386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343067",
            "telephone_number": "216-464-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343067",
            "telephone_number": "216-464-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU MEDICAL IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-464-5160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.