Organization Active NPI

Manhasset Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • Manhasset, NY
National Provider Identifier
1881743854
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29017179 Issued in NY
Legal business name
MANHASSET DIAGNOSTIC IMAGING, P.C.
Practice address
1350 Northern Blvd
Manhasset, NY 11030-3004
Phone
(516) 222-2022
Fax
(516) 222-8475
NPI assigned
Jan 9, 2007
Organization subpart
Yes
Parent organization
NRAD MEDICAL ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Miss Leslie Bay
Title
Director of Billng
Phone
(516) 222-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 29017179 NY Primary

Addresses

Primary practice location

1350 Northern Blvd
Manhasset, NY 11030-3004

Mailing address

1350 Northern Blvd
Manhasset, NY 11030-3004
Phone (516) 222-2022

National Provider Directory

National Provider Directory
Part of
David H Faegenburg MD

Locations

1350 Northern Blvd
Fl 2
Manhasset, NY 11030
Phone (516) 365-5652

Practitioners & affiliated clinicians

Practitioners 3

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1881743854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303004",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303004",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHASSET DIAGNOSTIC IMAGING, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NRAD MEDICAL ASSOCIATES, P.C.",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLNG",
        "authorized_official_telephone_number": "516-222-2022",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "29017179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.