NPIMap

Organization Active NPI

Amar N. Gulati, PC- Raytel Medical Imaging

  • Diagnostic Radiology Physician
  • Collegeville, PA
National Provider Identifier
1063461622
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AMAR N. GULATI, PC- RAYTEL MEDICAL IMAGING
Practice address
430 Park Ave
Suite 100
Collegeville, PA 19426-2699
Phone
(610) 831-0500
Fax
(610) 831-8989
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Jeffrey M Flanegin
Title
President
Phone
(610) 831-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

430 Park Ave
Suite 100
Collegeville, PA 19426-2699

Mailing address

7 Waterside Xing
3Rd Floor Attn: Karen Frisk, Contracting
Windsor, CT 06095-1540
Phone (800) 367-1095

Other identifiers 1

IdentifierTypeStateIssuer
0011374950002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Amar N Gulati PC - Raytel Medical Imaging7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

430 Park Ave
Ste 100
Collegeville, PA 19426
Phone (610) 489-0525

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1063461622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATERSIDE XING",
            "address_2": "3RD FLOOR ATTN: KAREN FRISK, CONTRACTING",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951540",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PARK AVE",
            "address_2": "SUITE 100",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262699",
            "telephone_number": "610-831-0500",
            "fax_number": "610-831-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAR N. GULATI, PC- RAYTEL MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "FLANEGIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011374950002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.