LEADING EDGE MEDICAL DIAGNOSTIC, PC (NPI# 1467761957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467761957 |
| Entity Type | Organization |
| Organization Name | LEADING EDGE MEDICAL DIAGNOSTIC, PC |
| Practice Address |
333 Broadway, Ste 2 Newburgh NY 12550 |
| Practice Telephone | 8455624545 |
| Mailing Telephone | 8455624545 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |
| Authorized Official Name | DANIEL SCHLUSSELBERG (OWNER) |
| Authorized Official Telephone | 8455624545 |
| 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 |
| Street Address |
333 BROADWAY, STE 2 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| 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 |
|---|---|---|---|---|
| 1205920402 | Advanced Medical Imaging | Radiology | 3 Corwin Court, Newburgh, NY 12550 | 2006-10-03 |
| 1215901269 | Harvey M Peck | Radiology | 320 Robinson Ave, C/o Orange Radiology Associates, PC, Newburgh, NY 12550-3353 | 2006-02-15 |
| 1477540516 | Koreen Kay Potts | Radiology | 2351 Julianne Cir, Newburgh, IN 47630-9056 | 2005-10-04 |
| 1144217241 | Gateway Imaging LLC | Radiology | 4087 Gateway Blvd, Newburgh, IN 47630-8947 | 2005-10-04 |
| 1083600738 | Steven G Becker | Radiology | 4799 Rosebud Ln, Newburgh, IN 47630-9225 | 2005-09-27 |
| 1134127822 | Mahesh Kinkhabwala | Radiology | 3 Corwin Ct, Newburgh, NY 12550-5107 | 2005-07-07 |
| 1720329048 | Jr Medical Diagnostic PC | Radiology | 5 Jeanne Dr, Suite 5, Newburgh, NY 12550-1798 | 2013-03-12 |
| 1770533465 | Orange Radiology Associates, P.C. | Radiology | 320 Robinson Ave, Newburgh, NY 12550-3353 | 2006-05-11 |
| 1326017401 | Frederick P Ayers | Radiology | 320 Robinson Ave, Newburgh, NY 12550-3353 | 2006-03-14 |
| 1851369060 | Harry N Boltin | Radiology | 320 Robinson Ave, C/o Orange Radiology Associates, P.C., Newburgh, NY 12550-3353 | 2006-03-14 |
| Find all providers in NEWBURGH | ||||
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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.