Individual provider Active NPI

Salvatore Desena, MD

  • Body Imaging Physician
  • Staten Island, NY
National Provider Identifier
1033190384
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
194619-1 Issued in NY
Practice address
65 Columbus Ave
Staten Island, NY 10304
Phone
(718) 448-3210
Fax
(718) 984-2642
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 194619-1 NY Primary

Addresses

Primary practice location

65 Columbus Ave
Staten Island, NY 10304

Mailing address

2535 Arthur Kill Rd
Staten Island, NY 10309-1207
Phone (718) 448-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20051205000529 NY Practitioner - Diagnostic Radiology 7618997719 Reassigns benefits to 1 organization
I20251002003556 PA Practitioner - Diagnostic Radiology 7618997719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

3480 Veterans Memorial Hwy
Bohemia, NY 11716-1068
Phone (631) 289-0338

9 Martindell Dr
Newtown, PA 18940-3645
Phone (516) 536-2800

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194619-1NYMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Jul 19, 2022 Accepting new patients
True North Medical Group PC CurrentSince Jul 19, 2022 Accepting new patients
Radiology Services of New York, PC Past Accepting new patients
Radiology Services of New York, PC Past Accepting new patients

Locations

3480 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 289-0338

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

1099 Targee St
Staten Island, NY 10304

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

65 Columbus Ave
Staten Island, NY 10304

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Networks

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

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1033190384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091207",
            "telephone_number": "718-448-3210",
            "fax_number": "718-984-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COLUMBUS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-448-3210",
            "fax_number": "718-984-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESENA",
        "first_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "194619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.