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WILLIAMSBURG MEDICAL IMAGING, PC
NPI 1417970773
Radiology - Diagnostic Radiology in Brooklyn, NY

Active since July 26, 2006CLIA 33D2052682 · Waiver
762 BEDFORD AVENUE, BROOKLYN, NY 11205(718) 947-2570(718) 947-2571 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Williamsburg Medical Imaging, Pc NPPES

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

WILLIAMSBURG MEDICAL IMAGING, PC (NPI 1417970773) is a healthcare organization registered as a diagnostic radiology in Brooklyn, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Linda A. Carr, Diagnostic Radiologist, as its authorized official.

NPPES Registry Identity

NPI1417970773
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameWILLIAMSBURG MEDICAL IMAGING, PC
Location Address762 BEDFORD AVENUEBrooklyn, NY 11205-1508
Mailing Address762 Bedford AvenueBrooklyn, NY 11205-1508 · (718) 947-2570 · Fax (718) 947-2571
Phone(718) 947-2570
Fax(718) 947-2571
Organization SubpartNo
Authorized OfficialLinda A. CarrDiagnostic Radiologist · (718) 947-2570
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 20, 2015
✔ NPI 1417970773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
762 BEDFORD AVENUE, Brooklyn, NY 11205
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Other Identifiers 3

Medicare PINWTP461NY
Medicaid02840944NY
OtherA100054722NY · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2052682

Williamsburg Medical Imaging, PC · Brooklyn, NY
Active · expires Jan 14, 2027
CLIA Number33D2052682
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. David Zelman
Laboratory Phone(718) 947-2570
Laboratory LocationWilliamsburg Medical Imaging, PC762 Bedford Avenue, Brooklyn, NY 11205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Williamsburg Medical Imaging, PC's NPI number?

The NPI number for Williamsburg Medical Imaging, PC is 1417970773. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Williamsburg Medical Imaging, PC located?

Williamsburg Medical Imaging, PC is located at 762 Bedford Avenue, Brooklyn, NY 11205. The listed phone number is (718) 947-2570.

What is Williamsburg Medical Imaging, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Williamsburg Medical Imaging, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2052682) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Williamsburg Medical Imaging, PC was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.