EAST RIVER DIAGNOSTIC CENTER LLC (NPI# 1154982361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154982361 |
| Entity Type | Organization |
| Organization Name | EAST RIVER DIAGNOSTIC CENTER LLC |
| Practice Address |
3 Franklin Pl Massapequa NY 11758-7016 |
| Practice Telephone | 5164103640 |
| Mailing Telephone | 5164103640 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-07-01 |
| Authorized Official Name | DR. GERARD FUSARO (DIRECTOR) |
| Authorized Official Telephone | 5164103640 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3 FRANKLIN PL |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-7016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272890 | Meridian Neurology Group LLC | Acupuncturist | 3 Franklin Pl, Massapequa, NY 11758-7016 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568926822 | Frederic A Mendelsohn Neurodiagnostics Inc | Radiology | 30 Seaside Dr, Port Jefferson, NY 11777-1132 | 2019-01-30 |
| 1639580244 | Julian Felder | Radiology | 20 Markwood Rd, Forest Hills, NY 11375-6050 | 2014-05-16 |
| 1982045845 | Reade Andrew De Leacy | Radiology | 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 | 2013-07-08 |
| 1053653733 | Joanne Michelle Rispoli | Radiology | 560 1st Ave # 2, New York, NY 10016-6402 | 2013-03-20 |
| 1619215167 | Asim Maher | Radiology | 8342 241st St, Bellerose, NY 11426 | 2013-01-17 |
| 1568727121 | Akm Ashfaqur Rahman | Radiology | 23 Hadley Ct, Pittsford, NY 14534-2838 | 2012-07-10 |
| 1740554286 | Branch Medical, PC | Radiology | 35 Pinelawn Rd., Suite 112, Melville, NY 11747 | 2012-03-01 |
| 1437426483 | John William Duncan | Radiology | 7 E 14th St Apt 201, New York, NY 10003-3117 | 2011-11-18 |
| 1750685806 | Prachi Dubey | Radiology | 630 W168th Street # 28, New York, NY 10032 | 2011-01-04 |
| 1275850810 | Joseph Dobtsis | Radiology | 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 | 2010-04-21 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.