NPIMap

Organization Active NPI

Northern Boulevard Imaging, MDPC

Doing business as Queens Open MRI

  • Radiology Clinic/Center
  • Flushing, NY
National Provider Identifier
1013994078
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NORTHERN BOULEVARD IMAGING, MDPC
Doing business as
Queens Open MRI
Practice address
16425 Northern Blvd
Flushing, NY 11358-2646
Phone
(718) 358-4075
Fax
(718) 358-4076
NPI assigned
Dec 29, 2005
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allen Rothpearl, MDNPI 1619977030
Title
Senior Partner
Phone
(631) 517-8006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

16425 Northern Blvd
Flushing, NY 11358-2646

Mailing address

PO Box 18005
Hauppauge, NY 11788-8805
Phone (631) 517-8000

Other identifiers 1

IdentifierTypeStateIssuer
02532070MedicaidNY

Other names 1

  • Queens Open MRI Doing business as

National Provider Directory

National Provider Directory

Locations

16425 Northern Blvd
Flushing, NY 11358
Phone (718) 358-4075

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1013994078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18005",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117888805",
            "telephone_number": "631-517-8000",
            "fax_number": "631-893-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16425 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582646",
            "telephone_number": "718-358-4075",
            "fax_number": "718-358-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN BOULEVARD IMAGING, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "ROTHPEARL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "631-517-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02532070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.