PDI HEALTH MA LLC (NPI# 1366067787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366067787 |
| Entity Type | Organization |
| Organization Name | PDI HEALTH MA LLC |
| Practice Address |
1 Bridge St Newton MA 02458-1132 |
| Mailing Address |
12 Spencer St Brooklyn NY 11205-1891 |
| Practice Telephone | 8007499729 |
| Mailing Telephone | 8007499729 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MENACHEM TAUBER (CEO) |
| Authorized Official Telephone | 8007499729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421324 | Pdi Health Ma LLC | Clinic/Center | 1 Bridge St, Newton, MA 02458-1132 | 2020-06-11 |
| Street Address |
1 BRIDGE ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02458-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421324 | Pdi Health Ma LLC | Clinic/Center | 1 Bridge St, Newton, MA 02458-1132 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1114499043 | Anne Irene Vermeulen | Health Educator | 55 Chapel Street, Suite 300, Newton, MA 02458 | 2018-12-17 |
| 1669957023 | Marla Rutenberg | Social Worker | 4 Cotton Street, Newton, MA 02458 | 2018-10-01 |
| 1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
| 1356886485 | Elizabeth Woodruff | Social Worker | 77 Warren St. Building #9, Brighton, MA 02458 | 2016-12-28 |
| 1346618519 | Jessica Farnsworth Kruss | Counselor | 425 Rear Watertown St., Newton, MA 02458 | 2015-09-04 |
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1861830887 | Allison L. Phillips | Social Worker | 64 Eldredge St., Newton, MA 02458 | 2013-06-12 |
| Find all providers in zip 02458 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871672048 | Mmds of Boston, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Silver Lake Avenue, Newton, MA 02458 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843556 | Mobile Xray Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 350 Bedford St Ste 5a, Lakeville, MA 02347-2128 | 2020-08-26 |
| 1205135696 | Alliance Care Mobile X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 44 W Emerson St Apt 11, Melrose, MA 02176-3131 | 2011-03-24 |
| 1700187804 | Medx International Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 225 Rockland St. - Suite 3, Medx International Inc., New Bedford, MA 02740-3136 | 2010-11-05 |
| 1225171630 | Evergreen Valley Medical, PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 170 Tilting Rock Rd, Wrentham, MA 02093-1358 | 2007-02-15 |
| 1053302042 | Mobile Medical Radiography and Ekg Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 109 Rhode Island Rd, Clear Pond Offices, Lakeville, MA 02347-1370 | 2005-10-31 |
| 1225554371 | Visiting Dental Xrays PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 15 Slab Bridge Rd, Assonet, MA 02702-1434 | 2017-08-21 |
| 1457782492 | Noa Diagnostics of Ma LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 180 Low St, Newburyport, MA 01950-3519 | 2013-12-02 |
| 1851552905 | Radiology & Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1350 Main St, Suite 1007, Springfield, MA 01103-1664 | 2008-06-21 |
| 1588799498 | Burgess Health Associates LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 29 College St, South Hadley, MA 01075-6462 | 2007-02-22 |
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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.