Central Park Diagnostic, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

245082 Issued in NY

Legal business name

CENTRAL PARK DIAGNOSTIC, INC

Practice address

134 W 58TH St
Ste. 102
New York, NY 10019-2153

Phone

(212) 974-0490

Fax

(212) 974-0493

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shahnoz Rustamova, MD

Title

Owner

Phone

(212) 974-0490

Specialties & licenses 1

Addresses

Tax ID family

Central Park Diagnostic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Central Park Diagnostic, Inc.

  • Specialist
  • Rosedale, NY
  • NPI 1881976272
  NPD tax ID
• Central Park Diagnostic Inc

  • Radiology Clinic/Center
  • Bayonne, NJ
  • NPI 1730411869
  NPD tax ID

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1891015947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W 58TH ST",
            "address_2": "STE. 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192153",
            "telephone_number": "212-974-0490",
            "fax_number": "212-974-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W 58TH ST",
            "address_2": "STE. 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192153",
            "telephone_number": "212-974-0490",
            "fax_number": "212-974-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "RUSTAMOVA",
        "authorized_official_first_name": "SHAHNOZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-974-0490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "245082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Park Dental Associates PLLC
• Central Park Dental Spa
• Central Park Dentistry Pediatric Dental Care
• Central Park Dentistry, PC
• Central Park Dermatology, P.C.
• Central Park East Office Based Surgery, P.C.
• Central Park Gastrointestinal Endoscopy, PC
• Central Park GYN
• Central Park Medical Practice
• Central Park Medical Services P.C.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.