Organization Active NPI

Kissena Medical Imaging,P.C.

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1992882682
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KISSENA MEDICAL IMAGING,P.C.
Practice address
140-15 Holly Ave
Flushing, NY 11355-3433
Phone
(718) 961-1663
Fax
(718) 961-1665
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Lawrence N Diamond, M.D.
Title
Owner
Phone
(718) 961-1663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

140-15 Holly Ave
Flushing, NY 11355-3433

Mailing address

14015 Holly Ave
Flushing, NY 11355-3433
Phone (718) 961-1663

Other identifiers 1

IdentifierTypeStateIssuer
155486OtherNYMEDICINE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1992882682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 HOLLY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553433",
            "telephone_number": "718-961-1663",
            "fax_number": "718-961-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140-15 HOLLY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553433",
            "telephone_number": "718-961-1663",
            "fax_number": "718-961-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSENA MEDICAL IMAGING,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-961-1663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICINE",
            "identifier": "155486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.