Organization Active NPI

NK Medical Diagnostic PLLC

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1942335344
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NK MEDICAL DIAGNOSTIC PLLC
Practice address
1461 Astor Ave
Bronx, NY 10469-5812
Phone
(718) 881-4891
Fax
(718) 881-0696
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Michele Nanna, MD
Title
President
Phone
(718) 881-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1461 Astor Ave
Bronx, NY 10469-5812

Mailing address

1461 Astor Ave
Bronx, NY 10469-5812
Phone (718) 881-4891

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1942335344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695812",
            "telephone_number": "718-881-4891",
            "fax_number": "718-881-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695812",
            "telephone_number": "718-881-4891",
            "fax_number": "718-881-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK MEDICAL DIAGNOSTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "NANNA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-881-4891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.