Diagnostic Medical Imaging PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

147975-1 Issued in NY

Legal business name

DIAGNOSTIC MEDICAL IMAGING PLLC

Practice address

19 Girard St
Brooklyn, NY 11235-3007

Phone

(718) 866-7796

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eliezer Offenbacher, MD

Title

Sole MBR

Phone

(718) 866-7796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1902338445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GIRARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353007",
            "telephone_number": "718-866-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GIRARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353007",
            "telephone_number": "718-866-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "OFFENBACHER",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "718-866-7796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "147975-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.