Organization Active NPI

Queens Medical Imaging, PC

  • Nuclear Radiology Physician
  • Forest Hills, NY
National Provider Identifier
1992995203
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
Legal business name
QUEENS MEDICAL IMAGING, PC
Practice address
10202 Queens Blvd
Forest Hills, NY 11375-3197
Phone
(718) 896-7600
Fax
(718) 896-7601
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Andrew Winakor
Title
Director, Managed Care
Phone
(516) 616-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0904X Primary

Addresses

Primary practice location

10202 Queens Blvd
Forest Hills, NY 11375-3197

Mailing address

10202 Queens Blvd
Forest Hills, NY 11375-3197
Phone (718) 896-7600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1992995203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753197",
            "telephone_number": "718-896-7600",
            "fax_number": "718-896-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753197",
            "telephone_number": "718-896-7600",
            "fax_number": "718-896-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MEDICAL IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "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"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.