QUEENS DIAGNOSTIC RADIOLOGY P.C. NPI 1174020226

NPI Information

  • NPI: 1174020226
  • Provider Name: QUEENS DIAGNOSTIC RADIOLOGY, P.C.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: QUEENS DIAGNOSTIC RADIOLOGY, P.C.
  • Address: 25302 ROCKAWAY BLVD STE B
    ROSEDALE, NY
    ZIP 11422
  • Phone: (718) 764-2222

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NPI Details

QUEENS DIAGNOSTIC RADIOLOGY, P.C. is a diagnostic radiology radiology in Rosedale, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. QUEENS DIAGNOSTIC RADIOLOGY, P.C. NPI is 1174020226. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Queens Diagnostic Radiology, P.c..

The provider's business location address is:

25302 ROCKAWAY BLVD STE B
ROSEDALE, NY
ZIP 11422-114
Phone: (718) 764-2222
Fax: (516) 666-8655

The provider's authorized official is Mark J Lodespoto .
The authorized official title is President and has the following contact phone number (718) 764-2222.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology171063NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101418331MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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