Active NPI
Metropolitan Diagnostic Imaging, PC
- Diagnostic Radiology Physician
- Garden City, NY
National Provider Identifier
1982607198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29015883
- Legal business name
- METROPOLITAN DIAGNOSTIC IMAGING, PC
- Practice address
- 601 Franklin Ave
Garden City, NY 11530-5795 - Phone
- (516) 747-0161
- Fax
- (516) 747-0166
- NPI assigned
- May 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Winakor
- Title
- Director, Managed Care
- Phone
- (516) 616-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29015883 | NY | Primary |
Addresses
Primary practice location
601 Franklin Ave
Garden City, NY 11530-5795
Mailing address
601 Franklin Ave
Garden City, NY 11530-5795
Phone (516) 747-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02491716 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1982607198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305795",
"telephone_number": "516-747-0161",
"fax_number": "516-747-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305795",
"telephone_number": "516-747-0161",
"fax_number": "516-747-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN DIAGNOSTIC IMAGING, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "WINAKOR",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "DIRECTOR, MANAGED CARE",
"authorized_official_telephone_number": "516-616-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "29015883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02491716",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.