1. Home
  2. Directory
  3. New York
  4. Ridgewood
  5. Family Medicine
  6. NPI Profile

RIDGEWOOD MEDICAL DIAGNOSTIC PC
NPI 1326311358
Family Medicine in Ridgewood, NY

Active since February 22, 2012
5629 METROPOLITAN AVE, RIDGEWOOD, NY 11385(718) 648-5858(718) 375-2735 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ridgewood Medical Diagnostic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGEWOOD MEDICAL DIAGNOSTIC PC (NPI 1326311358) is a healthcare organization registered as a family medicine in Ridgewood, New York and active in the NPI registry since February 2012. The organization lists Ian Prescott, Owner, as its authorized official.

NPPES Registry Identity

NPI1326311358
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIDGEWOOD MEDICAL DIAGNOSTIC PC
Location Address5629 METROPOLITAN AVERidgewood, NY 11385-1200
Mailing Address5629 Metropolitan AveRidgewood, NY 11385-1200 · (718) 648-5858 · Fax (718) 375-2735
Phone(718) 648-5858
Fax(718) 375-2735
Organization SubpartNo
Authorized OfficialIan PrescottOwner · (718) 648-5858
Enumeration DateFebruary 22, 2012
✔ NPI 1326311358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 185071
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5629 METROPOLITAN AVE, Ridgewood, NY 11385
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MK HEALTHCARE MEDICAL PC
Specialist
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
PANKAJ K MAMTORA MD
Internal Medicine
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
KIM CAPENA
Physical Therapist
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
NY EMPIRE MEDICAL PC
Clinic/Center (Multi-Specialty)
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
DR. STELLA ILYAEV M.D.
Internal Medicine
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
MELINDA MABUTAS PT
Physical Therapist
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 576-3277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridgewood Medical Diagnostic PC's NPI number?

The NPI number for Ridgewood Medical Diagnostic PC is 1326311358. It was assigned to this organization in the NPPES registry on February 22, 2012.

Where is Ridgewood Medical Diagnostic PC located?

Ridgewood Medical Diagnostic PC is located at 5629 Metropolitan Ave, Ridgewood, NY 11385. The listed phone number is (718) 648-5858.

What is Ridgewood Medical Diagnostic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ridgewood Medical Diagnostic PC was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.