Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ridgewood Medical Diagnostic PC

Organization Family Medicine Physician · NPI 1326311358

Ridgewood Medical Diagnostic PC is a Family Medicine Physician in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5629 Metropolitan Ave
Ridgewood, NY 11385-1200
Phone: (718) 648-5858
Fax: (718) 375-2735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 185071 (NY)

Record details

NPI number1326311358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ian Prescott — Owner · (718) 648-5858
NPI enumeratedFebruary 22, 2012
Last updated in NPPESFebruary 22, 2012
Mailing address5629 Metropolitan Ave, Ridgewood, NY 11385-1200

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