Organization Active NPI

Innovative Medical Diagnostic Care PC

  • Radiology Clinic/Center
  • New York, NY
National Provider Identifier
1841598430
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INNOVATIVE MEDICAL DIAGNOSTIC CARE PC
Practice address
1825 Madison Ave
New York, NY 10035-3829
Phone
(212) 860-3500
NPI assigned
Mar 4, 2011
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. Satish Chandra, MD
Title
President
Phone
(732) 321-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

1825 Madison Ave
New York, NY 10035-3829

Mailing address

22 Meridian Rd
Ste 2
Edison, NJ 08820-2860

National Provider Directory

National Provider Directory
Tax ID family
Innovative Medical Diagnostic Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1825 Madison Ave
New York, NY 10035
Phone (212) 369-5555

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1841598430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MERIDIAN RD",
            "address_2": "STE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353829",
            "telephone_number": "212-860-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL DIAGNOSTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-321-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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