Provider Demographics
NPI:1801660758
Name:NEXT GENERATION DIAGNOSTIC IMAGING P.C.
Entity type:Organization
Organization Name:NEXT GENERATION DIAGNOSTIC IMAGING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIAVONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-761-8287
Mailing Address - Street 1:241 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1325
Mailing Address - Country:US
Mailing Address - Phone:914-761-8287
Mailing Address - Fax:914-761-5765
Practice Address - Street 1:1915 CENTRAL PARK AVE # 25
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2949
Practice Address - Country:US
Practice Address - Phone:914-761-8287
Practice Address - Fax:914-761-5765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty