Individual provider Active NPI

Ron Maimon, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1033169537
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
235410 Issued in NY
Practice address
2095 Flatbush Avenue
Brooklyn, NY 11234-0000
Phone
(718) 338-6868
NPI assigned
May 12, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 235410 NY Primary

Addresses

Primary practice location

2095 Flatbush Avenue
Brooklyn, NY 11234-0000

Mailing address

2791 Richmond Ave
Suite 201
Staten Island, NY 10314-5859
Phone (718) 816-3710

Other identifiers 1

IdentifierTypeStateIssuer
02602188MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmaimon128238@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051206000056 NY Practitioner - Diagnostic Radiology 0840279980 Reassigns benefits to 4 organizations
I20260311001776 FL Practitioner - Diagnostic Radiology 0840279980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235410NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 9, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 9, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 29, 2015 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jan 29, 2015 Accepting new patients
Staten Island Physician Practice PC Diagnostic Radiology Past Accepting new patients
Highway Imaging Associates, LLP Past Accepting new patients
Brooklyn Diagnostic Imaging LLC Diagnostic Radiology Past Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients
Radiology Imaging Assocates of Brooklyn, PC Diagnostic Radiology Past Accepting new patients
Radiology Imaging Consultants PC Diagnostic Radiology Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rmaimon128238@nyumc.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1033169537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 RICHMOND AVE",
            "address_2": "SUITE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145859",
            "telephone_number": "718-816-3710",
            "fax_number": "718-228-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 FLATBUSH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112340000",
            "telephone_number": "718-338-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIMON",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "235410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602188",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmaimon128238@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "150 55th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112202508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.