Total Radiology, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TOTAL RADIOLOGY, PC

Practice address

3199 Bainbridge Ave
1St FL
Bronx, NY 10467-3907

Phone

(347) 346-8330

Fax

(347) 346-8333

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Siddharth Prakash, MD

Title

Owner/President

Phone

(347) 346-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1962772301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 BAINBRIDGE AVE",
            "address_2": "1ST FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673907",
            "telephone_number": "347-346-8330",
            "fax_number": "347-346-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 BAINBRIDGE AVE",
            "address_2": "1ST FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673907",
            "telephone_number": "347-346-8330",
            "fax_number": "347-346-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "SIDDHARTH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-346-8330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03412475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.