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MIDDLE VILLAGE DIAGNOSTIC IMAGING PC
NPI 1497771687
Radiology - Diagnostic Radiology in Rego Park, NY

Active since July 14, 2006
6243 WOODHAVEN BLVD, REGO PARK, NY 11374(718) 507-4700 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Middle Village Diagnostic Imaging Pc NPPES

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

MIDDLE VILLAGE DIAGNOSTIC IMAGING PC (NPI 1497771687) is a healthcare organization registered as a diagnostic radiology in Rego Park, New York and active in the NPI registry since July 2006. The organization lists Kimberly Chemo, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1497771687
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMIDDLE VILLAGE DIAGNOSTIC IMAGING PC
Location Address6243 WOODHAVEN BLVDRego Park, NY 11374-3731
Mailing Address6243 Woodhaven BlvdRego Park, NY 11374-3731 · (718) 507-4700
Phone(718) 507-4700
Organization SubpartNo
Authorized OfficialKimberly ChemoCredentialing Manager · (718) 605-2395
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 7, 2008
✔ NPI 1497771687 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.
6243 WOODHAVEN BLVD, Rego Park, NY 11374
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Other Identifiers 2

Medicaid02705411NY
Medicare PIN07100NY

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 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 33D2188746

Middle Village Diagnostic · Rego Park, NY
Expired · Jul 20, 2026
CLIA Number33D2188746
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorDr. Charles J. Demarco
Laboratory Phone(718) 507-4700
Laboratory LocationMiddle Village Diagnostic62-43 Woodhaven Blvd, Rego Park, NY 11374
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. CHARLES L. COOPER M.D.
Radiology (Diagnostic Radiology)
6243 WOODHAVEN BLVD
REGO PARK, NY 11374
Queens County (718) 507-4700
SANFORD RADIOLOGY PC
Radiology (Diagnostic Radiology)
6243 WOODHAVEN BLVD
REGO PARK, NY 11374
Queens County (718) 507-4700
DR. ROBERT S SCHEPP MD
Radiology (Diagnostic Radiology)
6243 WOODHAVEN BLVD
REGO PARK, NY 11374
Queens County (914) 552-6049
DR. DANIEL SCHLUSSELBERG MD
Radiology (Diagnostic Radiology)
6243 WOODHAVEN BLVD
REGO PARK, NY 11374
Queens County (718) 507-4700

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 Middle Village Diagnostic Imaging PC's NPI number?

The NPI number for Middle Village Diagnostic Imaging PC is 1497771687. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Middle Village Diagnostic Imaging PC located?

Middle Village Diagnostic Imaging PC is located at 6243 Woodhaven Blvd, Rego Park, NY 11374. The listed phone number is (718) 507-4700.

What is Middle Village Diagnostic Imaging PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Middle Village Diagnostic Imaging PC was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.