NPIMap

Organization Active NPI

Associated Radiologists of the Finger Lakes PC

  • Diagnostic Ultrasound Physician
  • Elmira, NY
National Provider Identifier
1063489060
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
ASSOCIATED RADIOLOGISTS OF THE FINGER LAKES PC
Practice address
600 Roe Ave
Elmira, NY 14905-1629
Phone
(607) 734-3414
Fax
(607) 734-9728
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Edwin Acosta, M.D.NPI 1255309985
Title
President
Phone
(607) 734-6237

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
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

600 Roe Ave
Elmira, NY 14905-1629

Mailing address

100 E 14TH St
Elmira Heights, NY 14903-1318
Phone (607) 734-6237

Other identifiers 2

IdentifierTypeStateIssuer
CJ0402OtherNYPALMETTO GBA
00371971MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, VT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040305000485 NY Part B Supplier - Clinic/Group Practice 5294623955 Receives reassigned benefits from 9 practitioners
Practice locations: Setauket, NY; Wellsville, NY; Elmira, NY; Bath, NY
O20210913000024 VA Part B Supplier - Clinic/Group Practice 5294623955 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA; Virginia Beach, VA
O20250721000442 VT Part B Supplier - Clinic/Group Practice 5294623955 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1063489060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031318",
            "telephone_number": "607-734-6237",
            "fax_number": "607-734-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-734-3414",
            "fax_number": "607-734-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RADIOLOGISTS OF THE FINGER LAKES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-734-6237",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CJ0402",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00371971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.