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Export Provider Record NPI 1417970773
Williamsburg Medical Imaging, Pc
Organization Subpart: NO
Active
NPI Number1417970773
NPI TypeNPI-2 Organization
SpecialtyRadiology, Diagnostic Radiology
Provider Details
NPI1417970773
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-26
Last Updated2015-04-20
Authorized OfficialLinda Carr
Diagnostic Radiologist
Phone: 7189472570
Mailing Address762 Bedford Avenue
Brooklyn, NY 11205-1508
United States
Phone: (718) 947-2570 | Fax: (718) 947-2571
📍 View Map
Primary Practice Address762 Bedford Avenue
Brooklyn, NY 11205-1508
United States
Phone: (718) 947-2570 | Fax: (718) 947-2571
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY02840944-
Other (non-Medicare)NYA100054722MEDICARE PTAN
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No2085R0202X – Radiology, Diagnostic Radiology--
Yes2085R0202X – Radiology, Diagnostic RadiologyNY-
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About NPI 1417970773

Williamsburg Medical Imaging, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417970773. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Brooklyn, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417970773?

NPI 1417970773 belongs to Williamsburg Medical Imaging, Pc, a Radiology, Diagnostic Radiology in Brooklyn, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417970773 active?

The current status of NPI 1417970773 in the NPPES registry is Active. The record was last updated on 2015-04-20.

What specialty is NPI 1417970773?

NPI 1417970773 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417970773?

You can verify NPI 1417970773 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417970773?

The primary practice address on file for NPI 1417970773 is 762 Bedford Avenue, Brooklyn, NY 11205-1508. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417970773 issued?

NPI 1417970773 was first issued (enumerated) on 2006-07-26. The NPPES record was last updated on 2015-04-20.

Practice Location Map

Williamsburg Medical Imaging, Pc is located at 762 Bedford Avenue, Brooklyn, NY. Use the map below to find directions or verify the practice location.

📍 762 Bedford Avenue, Brooklyn, NY 11205-1508  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Williamsburg Medical Imaging, Pc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162