PREMIER PET MANAGEMENT OF QUEENS LLC NPI 1598830424

NPI Information

  • NPI: 1598830424
  • Provider Name: PREMIER PET MANAGEMENT OF QUEENS LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: FOREST HILLS PET IMAGING PC
  • Address: 10202 QUEENS BLVD
    FOREST HILLS, NY
    ZIP 11375
  • Phone: (718) 896-7600

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NPI Details

PREMIER PET MANAGEMENT OF QUEENS LLC is a diagnostic radiology radiology in Forest Hills, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PREMIER PET MANAGEMENT OF QUEENS LLC NPI is 1598830424. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Forest Hills Pet Imaging Pc.

The provider's business location address is:

10202 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375-197
Phone: (718) 896-7600
Fax: (718) 896-7601

The provider's authorized official is Lucille Patricia Taverna .
The authorized official title is Medical Director and has the following contact phone number (516) 255-9555.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 10/10/2007.

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 Radiology1124741NEW 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
106998MEDICARE PINNEW YORK
200380218MEDICAIDNEW YORK
3B13484MEDICARE UPINNEW 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: 3/30/2025

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