1346429404 NPI number — BEECH IMAGING AND DIAGNOSTIC PC DBA RADIOLOGY IMAGING OF QUEENS

NPI Number: 1346429404
Health Care Provider/Practitioner: BEECH IMAGING AND DIAGNOSTIC PC DBA RADIOLOGY IMAGING OF QUEENS

NPI Number : 1346429404 – XML Data Format

                    
<?xml version="1.0" encoding="UTF-8"?>
<Npi>
	<NPI>
		1346429404
	</NPI>
	<EntityType>
		Organization
	</EntityType>
	<ReplacementNPI/>
	<EIN/>
	<IsSoleProprietor/>
	<IsOrgSubpart>
		N
	</IsOrgSubpart>
	<ParentOrgLBN/>
	<ParentOrgTIN/>
	<OrgName>
		BEECH IMAGING AND DIAGNOSTIC PC DBA RADIOLOGY IMAGING OF QUEENS
	</OrgName>
	<LastName/>
	<FirstName/>
	<MiddleName/>
	<NamePrefix/>
	<NameSuffix/>
	<Credential/>
	<OtherOrgName/>
	<OtherOrgNameTypeCode/>
	<OtherLastName/>
	<OtherFirstName/>
	<OtherMiddleName/>
	<OtherNamePrefix/>
	<OtherNameSuffix/>
	<OtherCredential/>
	<OtherLastNameTypeCode/>
	<FirstLineMailingAddress>
		6829 SPRINGFIELD BLVD
	</FirstLineMailingAddress>
	<SecondLineMailingAddress/>
	<MailingAddressCityName>
		OAKLAND GARDENS
	</MailingAddressCityName>
	<MailingAddressStateName>
		NY
	</MailingAddressStateName>
	<MailingAddressPostalCode>
		11364-2632
	</MailingAddressPostalCode>
	<MailingAddressCountryCode>
		US
	</MailingAddressCountryCode>
	<MailingAddressTelephoneNumber>
		718-279-1300
	</MailingAddressTelephoneNumber>
	<MailingAddressFaxNumber/>
	<FirstLinePracticeLocationAddress>
		6829 SPRINGFIELD BLVD
	</FirstLinePracticeLocationAddress>
	<SecondLinePracticeLocationAddress/>
	<PracticeLocationAddressCityName>
		OAKLAND GARDENS
	</PracticeLocationAddressCityName>
	<PracticeLocationAddressStateName>
		NY
	</PracticeLocationAddressStateName>
	<PracticeLocationAddressPostalCode>
		11364-2632
	</PracticeLocationAddressPostalCode>
	<PracticeLocationAddressCountryCode>
		US
	</PracticeLocationAddressCountryCode>
	<PracticeLocationAddressTelephoneNumber>
		718-279-1300
	</PracticeLocationAddressTelephoneNumber>
	<PracticeLocationAddressFaxNumber/>
	<EnumerationDate>
		10/25/2007
	</EnumerationDate>
	<LastUpdateDate>
		10/25/2007
	</LastUpdateDate>
	<NPIDeactivationReasonCode/>
	<NPIDeactivationReason/>
	<NPIDeactivationDate/>
	<NPIReactivationDate/>
	<GenderCode/>
	<Gender/>
	<AuthorizedOfficialLastName>
		ROTHPEARL
	</AuthorizedOfficialLastName>
	<AuthorizedOfficialFirstName>
		ALLEN
	</AuthorizedOfficialFirstName>
	<AuthorizedOfficialMiddleName/>
	<AuthorizedOfficialTitle>
		RADIOLOGIST
	</AuthorizedOfficialTitle>
	<AuthorizedOfficialNamePrefix/>
	<AuthorizedOfficialNameSuffix/>
	<AuthorizedOfficialCredential>
		MD
	</AuthorizedOfficialCredential>
	<AuthorizedOfficialTelephoneNumber>
		516-620-9510
	</AuthorizedOfficialTelephoneNumber>
	<Taxonomies>
		<Taxonomy>
			<TaxonomyCode>
				2085B0100X
			</TaxonomyCode>
			<TaxonomyName>
				Body Imaging Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NY
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2085D0003X
			</TaxonomyCode>
			<TaxonomyName>
				Diagnostic Neuroimaging (Radiology) Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NY
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2085N0904X
			</TaxonomyCode>
			<TaxonomyName>
				Nuclear Radiology Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NY
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2085U0001X
			</TaxonomyCode>
			<TaxonomyName>
				Diagnostic Ultrasound Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NY
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2085R0202X
			</TaxonomyCode>
			<TaxonomyName>
				Diagnostic Radiology Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NY
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				Y
			</PrimaryTaxonomySwitch>
		</Taxonomy>
	</Taxonomies>
	<HealthcareProviderTaxonomyGroups>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193400000X MULTIPLE SINGLE SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193400000X MULTIPLE SINGLE SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193400000X MULTIPLE SINGLE SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193400000X MULTIPLE SINGLE SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193400000X MULTIPLE SINGLE SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
	</HealthcareProviderTaxonomyGroups>
</Npi>

                    
                

NPI Number XSD (XML Schema Definition)

                
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                                                               <xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
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