Individual provider Active NPI

Henry Herman Janssen Jr., M.D.

  • Diagnostic Radiology Physician
  • Mount Kisco, NY
National Provider Identifier
1053371765
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
037751 Issued in CT
Practice address
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone
(914) 241-1050
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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 037751 CT Primary

Addresses

Primary practice location

90 S Bedford Rd
Mount Kisco, NY 10549-3412

Mailing address

110 S Bedford Rd
Mount Kisco, NY 10549-3446
Phone (914) 241-1050

Other identifiers 10

IdentifierTypeStateIssuer
300128165OtherCTRAILROAD MEDICARE
010037751CT14OtherCTANTHEM BC/BS
300128159OtherCTRAILROAD MEDICARE
001377515MedicaidCT
300128163OtherCTRAILROAD MEDICARE
010037751CT06OtherCTANTHEM BC/BS
010037751CT07OtherCTANTHEM BC/BS
010037751CT12OtherCTANTHEM BC/BS
P00124616OtherCTRAILROAD MEDICARE
010037751CT10OtherCTANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090630000280 CT Practitioner - Diagnostic Radiology 3779634902 Reassigns benefits to 1 organization
I20170804000466 NY Practitioner - Diagnostic Radiology 3779634902 Reassigns benefits to 2 organizations
I20230130000560 NJ Practitioner - Diagnostic Radiology 3779634902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians

Practice addresses (Care Compare)

150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

90 Keeler Dr
Ridgefield, CT 06877-1012
Phone (631) 225-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037751CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 1, 2017 Accepting new patients
A.G. Dikengil, MD, PA CurrentSince Jan 1, 2023 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology Past Accepting new patients
New Britain Radiological Assoc.,PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 31)

736 Page Ave
Lyndhurst, NJ 07071
Phone (201) 531-9006

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240

1018 Suffolk Ave
Brentwood, NY 11717

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403

2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480

326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076

150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

324 W 125th St
New York, NY 10027

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

4 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 428-1600

5650 Sunrise Hwy
Sayville, NY 11782

803 Montauk Hwy
Unit F
Shirley, NY 11967

Organizations & group practices 6

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1053371765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-241-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493412",
            "telephone_number": "914-241-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "HENRY",
        "middle_name": "HERMAN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "037751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300128165",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010037751CT14",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300128159",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001377515",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300128163",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010037751CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010037751CT07",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010037751CT12",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00124616",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010037751CT10",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.