Supriya Cardoza

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

P79052 Issued in NY

Practice address

205 E 64TH St
Memorial Sloan Kettering Hospital Center
New York, NY 10065-6635

Phone

(212) 639-2000

NPI assigned

May 5, 2011

Last updated

May 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1932491156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARMAN AVE",
            "address_2": "B5",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 64TH ST",
            "address_2": "MEMORIAL SLOAN KETTERING HOSPITAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656635",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZA",
        "first_name": "SUPRIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "P79052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Percy S Cardona, LMSW
• Tiffany Cardona, LMFT
• Cynthia Cardone, PA-C
• Dennis A Cardone, D.O.
• Gladys Cecily Cardoza, R.N.
• Eliana Cardozo, D.O.
• Mariela Cardozo
• Timothy J Cardozo, MD-PHD
• Care 4 All Med Center Inc
• Care Bridge 72 Acupuncture PC

• Body Imaging Physician in New York, NY
• Providers in New York, NY by specialty
• Body Imaging Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.