BROOKLYN NUCLEAR SPECT IMAGING, P.C.


Address: 11120 Queens Blvd, Forest Hills, NY 11375-6341
Phone: 7182617600

BROOKLYN NUCLEAR SPECT IMAGING, P.C. (NPI# 1154597359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154597359
Entity Type Organization
Organization Name BROOKLYN NUCLEAR SPECT IMAGING, P.C.
Practice Address 11120 Queens Blvd
Forest Hills
NY 11375-6341
Mailing Address 1435 86th St
Brooklyn
NY 11228-3403
Practice Telephone 7182617600
Mailing Telephone 7188370010
Mailing Fax Number 7188379797
Enumeration Date 2008-05-07
Last Update Date 2008-05-07
Authorized Official Name DR. ROBERT ALDO VACCARINO (PRESIDENT)
Authorized Official Telephone 7188370010
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
170563-1 NY Allopathic & Osteopathic Physicians
Y 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
170563-1 NY Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326214529 Brooklyn Nuclear Spect Imaging, P.C. Internal Medicine 8608 Elmhurst Ave, Elmhurst, NY 11373-2506 2008-05-07

Office Location

Street Address 11120 QUEENS BLVD
City FOREST HILLS
State NY
Zip Code 11375-6341

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NPI Name Taxonomy Address Enumeration
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1538582234 New Age Medical PC Clinic/Center 11120 Queens Blvd, Forest Hills, NY 11375-6303 2014-01-31
1770849861 Arvind R Shah Internal Medicine 11120 Queens Blvd, Forest Hills, NY 11375-6303 2012-04-03
1609142926 New Age Medical, PC Clinic/Center 11120 Queens Blvd, Forest Hills, NY 11375-6303 2012-03-30
1710290945 Forest Hills Specialized Services, Inc. Clinic/Center 11120 Queens Blvd, Forest Hills, NY 11375-6303 2010-07-16
1174855688 New Age Medical, PC Clinic/Center 11120 Queens Blvd, Forest Hills, NY 11375-6341 2010-02-08
1184861817 American Open Mri, PC Radiology 11120 Queens Blvd, Forest Hills, NY 11375-6341 2009-01-16
1487809232 Richard A Gasalberti M D Sports Medicine & Rehabilitation P C Physical Medicine & Rehabilitation 11120 Queens Blvd, Forest Hills, NY 11375-6341 2008-11-20
1003015298 Queens Family Medical Health and Wellness, PC Family Medicine 11120 Queens Blvd, Forest Hills, NY 11375-6341 2007-07-17
1548380892 Yelena Amitina Psychiatry & Neurology 11120 Queens Blvd, Forest Hills, NY 11375-6303 2007-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932709623 Nicole Ficano Counselor 102-02 66th Road, Forest Hills, NY 11375 2020-10-30
1396342473 One Stop Senior Day Care Inc Clinic/Center 108-10 72nd Ave 2fl, Forest Hills, NY 11375 2020-10-02
1063029023 Prohealth Care Associates, LLP Occupational Therapist 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 2020-09-24
1659909398 Lindsay Stemke Student in an Organized Health Care Education/Training Program 102-01 66th Rd., Forest Hills, NY 11375 2020-03-30
1609409887 Yesodot, Inc Clinic/Center 110-06 69th Ave, Forest Hills, NY 11375 2020-02-17
1831744945 Darius Douglas Counselor Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 2019-08-06
1598329914 Jane Rochelle Pahang Physical Therapist 116-21 Queens Blvd, Forest Hills, NY 11375 2019-05-01
1558828939 Natalie Koptyev Pharmacist 108-14 68th Drive, Forest Hills, NY 11375 2019-02-21
1043782014 Magdalena Lekic Salameh Behavioral Analyst 67-29 Kessel Street, Forest Hills, NY 11375 2018-12-31
1861960031 Bertine Sylvie Alectine Specialist 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 2018-11-06
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Taxonomy Information

Taxonomy Code 207UN0901X
Grouping Allopathic & Osteopathic Physicians
Classification Nuclear Medicine
Specialization Nuclear Cardiology

Taxonomy Definition

A nuclear medicine physician who specializes in nuclear cardiology.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699936088 Diagnostic & Interventional Cardiac Svcs, PC Nuclear Medicine 11241 Queens Blvd, Suite Lla, Forest Hills, NY 11375-5564 2008-06-19
1538336136 Gramercy Cardiac Diagnostic Services, P.C. Nuclear Medicine 11241 Queens Blvd, Suite Lla, Forest Hills, NY 11375-5564 2008-05-13
1336214139 Forest Hills Nuclear Spect Imaging PC Nuclear Medicine 6915 Austin St, Forest Hills, NY 11375-4238 2006-11-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356985683 Robe Zack Olanz Md Oles Nuclear Medicine 401 7th Ave, New York, NY 10001-3463 2019-10-30
1326552548 Sylvan Healthcare Inc Nuclear Medicine 849 57th St Ste 801, Brooklyn, NY 11220-3797 2017-11-27
1629505003 Gramercy Cardiology, PC Nuclear Medicine 131 W 35th St # 700, New York, NY 10001-2111 2017-05-17
1912329467 Kings Medical Services PC Nuclear Medicine 1847 Utica Ave, 1st Fl, Brooklyn, NY 11234-2122 2014-01-16
1962832485 Gold Coast Cardiology PC Nuclear Medicine 370 Northern Blvd, Great Neck, NY 11021-4813 2013-11-19
1568727782 New York Cardiac, P.C. Nuclear Medicine 5 Jeanne Dr Ste 5, Newburgh, NY 12550-1797 2012-07-13
1194016618 Gramercy Cardiac Diagnostic Services, P.C. Nuclear Medicine 2329 Nostrand Ave, 600, Brooklyn, NY 11210-3839 2011-05-02
1366776700 Gramercy Cardiac Diagnostic Svcs P.C. Nuclear Medicine 90 Moore St, Unit 1a, Brooklyn, NY 11206-3353 2009-10-01
1447584883 Gramercy Cardiac Diagostic Svcs P.C. Nuclear Medicine 9617 Astoria Blvd, East Elmhurst, NY 11369-1815 2009-10-01
1366691610 Metro Physician Associates LLP Nuclear Medicine 1973 University Blvd, Bronx, NY 10453-4404 2008-09-11
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Competitor

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City FOREST HILLS
Zip Code 11375

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Dataset Information

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.

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