Organization Active NPI

New Choice Medical Diagnostics PC

  • Family Medicine Physician
  • Floral Park, NY
National Provider Identifier
1881968303
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
171063-2 Issued in NY
Legal business name
NEW CHOICE MEDICAL DIAGNOSTICS PC
Practice address
25710 Union Tpke
Floral Park, NY 11004-1252
Phone
(646) 428-4270
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Mark J Lodespoto
Title
President
Phone
(646) 428-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 171063-2 NY Primary

Addresses

Primary practice location

25710 Union Tpke
Floral Park, NY 11004-1252

Mailing address

25710 Union Tpke
Floral Park, NY 11004-1252
Phone (646) 428-4270

Other identifiers 1

IdentifierTypeStateIssuer
01418331MedicaidNY

National Provider Directory

National Provider Directory

Locations

25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1881968303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25710 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041252",
            "telephone_number": "646-428-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25710 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041252",
            "telephone_number": "646-428-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CHOICE MEDICAL DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-428-4270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "171063-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01418331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.