Active NPI
Carney Radiology Associates, Inc
- Diagnostic Radiology Physician
- Boston, MA
National Provider Identifier
1043345101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CARNEY RADIOLOGY ASSOCIATES, INC
- Practice address
- 2100 Dorchester Ave
Boston, MA 02124-5615 - Phone
- (617) 296-4000
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard I Herman, MD
- Title
- President
- Phone
- (617) 296-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | MA |
Addresses
Primary practice location
2100 Dorchester Ave
Boston, MA 02124-5615
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M12723 | Other | MA | BLUE SHIELD |
| CK1340 | Other | MA | RR MEDICARE |
| 9714618 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1043345101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DORCHESTER AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021245615",
"telephone_number": "617-296-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARNEY RADIOLOGY ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-296-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M12723",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CK1340",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9714618",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.