NPIMap

Organization Active NPI

Metropolitan Medical Diagnostics, PC

  • Neurology Physician
  • New York, NY
National Provider Identifier
1922517598
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
METROPOLITAN MEDICAL DIAGNOSTICS, PC
Practice address
170 E 87TH St Apt E8C
New York, NY 10128-2256
Phone
(631) 271-2291
Fax
(631) 277-2825
NPI assigned
Sep 26, 2017
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Roseann Metcalf
Title
Credentialing Manager
Phone
(718) 698-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

170 E 87TH St Apt E8C
New York, NY 10128-2256

Mailing address

170 E 87TH St Apt E8C
New York, NY 10128-2256
Phone (914) 246-0599

Other identifiers 1

IdentifierTypeStateIssuer
1922517598OtherNYCOMMERCIAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1922517598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E 87TH ST APT E8C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282256",
            "telephone_number": "914-246-0599",
            "fax_number": "718-791-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E 87TH ST APT E8C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282256",
            "telephone_number": "631-271-2291",
            "fax_number": "631-277-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN MEDICAL DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-698-3032"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1922517598",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.