Organization Active NPI

Brighton Medical Diagnostic

  • Radiology Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1891925095
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
BRIGHTON MEDICAL DIAGNOSTIC
Practice address
1150 Brighton Beach Ave
#1CC
Brooklyn, NY 11235-5901
Phone
(917) 476-8977
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Hamid Alam, M.D.
Title
Owner
Phone
(917) 476-8977

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1150 Brighton Beach Ave
#1CC
Brooklyn, NY 11235-5901

Mailing address

1150 Brighton Beach Ave
#1CC
Brooklyn, NY 11235-5901
Phone (917) 476-8977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1891925095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE",
            "address_2": "#1CC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355901",
            "telephone_number": "917-476-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE",
            "address_2": "#1CC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355901",
            "telephone_number": "917-476-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON MEDICAL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-476-8977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.