WELLNESS DIAGNOSTIC IMAGING PC (NPI# 1568906790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568906790 |
| Entity Type | Organization |
| Organization Name | WELLNESS DIAGNOSTIC IMAGING PC |
| Practice Address |
1608 59th St Brooklyn NY 11204-2129 |
| Practice Telephone | 7188727585 |
| Practice Fax Number | 7188727591 |
| Mailing Telephone | 7188727585 |
| Mailing Fax Number | 7188727591 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. ODED GREENBERG (MD) |
| Authorized Official Telephone | 7188727585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE LICENSE | 178096 | 01 |
| Street Address |
1608 59TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972842789 | Brooklyn Medical Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2013-02-14 |
| 1043698350 | Primary Diagnostic Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2015-05-07 |
| 1649668930 | Premium Diagnostic Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 |
|---|---|---|---|---|
| 1881249035 | Medical Diagnostic Inc. | Radiology | 306 Bay 14th St, Brooklyn, NY 11214-5810 | 2019-08-05 |
| 1023468717 | Sean Shorone Tamir | Radiology | 4802 Tenth Ave., Maimonides Medical Center, Department of Radiology, Brooklyn, NY 11219 | 2016-06-14 |
| 1841685435 | Junaid Aslam | Radiology | 8675 Bay Pkwy, Brooklyn, NY 11214-4186 | 2015-04-01 |
| 1639581358 | Avalon Radiology, P.C. | Radiology | 2085 West 11th Street, Brooklyn, NY 11223 | 2014-05-29 |
| 1972842789 | Brooklyn Medical Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2013-02-14 |
| 1346526829 | David A Zelman | Radiology | 1739 East 33rd St, Brooklyn, NY 11234-4423 | 2011-10-27 |
| 1366723876 | Bay Ridge Medical Imaging, P.c | Radiology | 7119 13th Ave, Brooklyn, NY 11228-1605 | 2011-08-30 |
| 1952689812 | Marina Perlov Radiology PC | Radiology | 115 Brightwater Ct Apt 6b, Brooklyn, NY 11235-7625 | 2011-07-26 |
| 1982992657 | Qwie T Chew | Radiology | 870 Ocean Ave, Brooklyn, NY 11226-6716 | 2011-07-15 |
| 1720390099 | Irina Rapoport | Radiology | 100 Oceana Dr W Apt 3c, Brooklyn, NY 11235-6651 | 2010-07-02 |
| Find all providers in BROOKLYN | ||||
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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.