MEDICARE: PDI HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1053742874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PDI HEALTH LLC

Provider Business Mailing Address
First Line	:	12 SPENCER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1891
Country	:	US
Telephone Number	:	516-517-4716
Fax Number	:	877-686-1540

Provider Business Practice Location Address
First Line	:	221 RIVER ST STE 9
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5990
Country	:	US
Telephone Number	:	718-388-3300
Fax Number	:	877-686-1540

Authorized Official
Title or Position	:	COO
Name	:	MENACHEM TAUBER
Credential	:
Telephone Number	:	516-517-4823

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	07/08/2025

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Directions to “PDI HEALTH LLC ” Practice Location

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