Organization Active NPI

Northeast Vascular Imaging Group Inc

  • Cardiovascular Specialist/Technologist
  • Rexford, NY
National Provider Identifier
1053773549
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
NORTHEAST VASCULAR IMAGING GROUP INC
Practice address
25 Bridlewood Loop
Rexford, NY 12148-1701
Phone
(518) 698-9700
Fax
(518) 280-4735
NPI assigned
Mar 23, 2016
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mr. Timothy J ZornNPI 1932465416
Title
Owner/President
Phone
(518) 698-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X NU Primary

Addresses

Primary practice location

25 Bridlewood Loop
Rexford, NY 12148-1701

Mailing address

25 Bridlewood Loop
Rexford, NY 12148-1701
Phone (518) 698-9700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1053773549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRIDLEWOOD LOOP",
            "city": "REXFORD",
            "state": "NY",
            "postal_code": "121481701",
            "telephone_number": "518-698-9700",
            "fax_number": "518-280-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRIDLEWOOD LOOP",
            "city": "REXFORD",
            "state": "NY",
            "postal_code": "121481701",
            "telephone_number": "518-698-9700",
            "fax_number": "518-280-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST VASCULAR IMAGING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "ZORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "518-698-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.