NPIMap

Organization Active NPI

M.G.K.S.C.Z. Magnetic Resonance Imaging P.C.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1043406820
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
M.G.K.S.C.Z. MAGNETIC RESONANCE IMAGING P.C.
Practice address
165 E 84TH St
New York, NY 10028-2049
Phone
(212) 535-9770
Fax
(212) 427-5273
NPI assigned
Sep 14, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Kevin Brosnan
Title
Director of Operations
Phone
(212) 518-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

165 E 84TH St
New York, NY 10028-2049

Mailing address

165 E 84TH St
New York, NY 10028-2049
Phone (212) 535-9770

Other identifiers 1

IdentifierTypeStateIssuer
W13651OtherNYMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

165 E 84th St
New York, NY 10028
Phone (212) 518-2901

Practitioners & affiliated clinicians

Practitioners 11

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1043406820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282049",
            "telephone_number": "212-535-9770",
            "fax_number": "212-427-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282049",
            "telephone_number": "212-535-9770",
            "fax_number": "212-427-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G.K.S.C.Z. MAGNETIC RESONANCE IMAGING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BROSNAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR  OF OPERATIONS",
        "authorized_official_telephone_number": "212-518-2901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W13651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.