Leading Edge Medical Diagnostic MD PC
NPI 1467761957 · Diagnostic Radiology Physician · Newburgh, NY
Leading Edge Medical Diagnostic MD PC is a Diagnostic Radiology Physician organization in Newburgh, NY (NPI 1467761957).
Provider details
- NPI number
- 1467761957
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gene Khodak, Manager(845) 562-4545
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-30
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Leading Edge Medical Diagnostic MD PC's NPI number?
- Leading Edge Medical Diagnostic MD PC's National Provider Identifier (NPI) is 1467761957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leading Edge Medical Diagnostic MD PC?
- Leading Edge Medical Diagnostic MD PC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Leading Edge Medical Diagnostic MD PC located?
- Leading Edge Medical Diagnostic MD PC's practice location on file with NPPES is 290 Broadway, Newburgh, NY 12550-5301.
- What is Leading Edge Medical Diagnostic MD PC's phone number?
- The practice phone number listed in the NPPES registry for Leading Edge Medical Diagnostic MD PC is (845) 562-4545.
- Who is the authorized official for Leading Edge Medical Diagnostic MD PC?
- The authorized official listed on Leading Edge Medical Diagnostic MD PC's NPPES record is Gene Khodak, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leading Edge Medical Diagnostic MD PC's NPI active?
- Yes — Leading Edge Medical Diagnostic MD PC's NPI (1467761957) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.