Organization Active NPI

Koniver Fiss Mansoory MD PA

Doing business as Papastavros Associates Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1083615561
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1989029182 Issued in DE
Legal business name
KONIVER FISS MANSOORY MD PA
Doing business as
Papastavros Associates Medical Imaging LLC
Practice address
1701 Augustine Cut Off
BLDG. 4
Wilmington, DE 19803-4461
Phone
(302) 652-3016
Fax
(302) 652-2534
NPI assigned
Aug 9, 2005
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Dr. Anthony Scola, MDNPI 1144222043
Title
Managing Partner
Phone
(302) 652-3016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1989029182 DE Primary

Addresses

Primary practice location

1701 Augustine Cut Off
BLDG. 4
Wilmington, DE 19803-4461

Mailing address

1160 Pittsford Victor Rd Ste D
Second Floor
Pittsford, NY 14534-3825
Phone (585) 218-8012

Other names 1

  • Papastavros Associates Medical Imaging LLC Doing business as

National Provider Directory

National Provider Directory

Locations

33672 Bayview Medical Dr
Lewes, DE 19958
Phone (302) 644-2590

114 Sandhill Dr
#201
Middletown, DE 19709
Phone (302) 376-6215

120 Sandhill Dr
Ste 2
Middletown, DE 19709
Phone (302) 449-5400

2600 Glasgow Ave
Ste 100
Newark, DE 19702
Phone (302) 273-1317

1320 Philadelphia Pike
Wilmington, DE 19809
Phone (302) 798-0666

1701 Augustine Cut Off
Ste 4
Wilmington, DE 19803
Phone (302) 652-3016

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

28308 Network Pl
Chicago, IL 60673

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1083615561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PITTSFORD VICTOR RD STE D",
            "address_2": "SECOND FLOOR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-218-8012",
            "fax_number": "585-218-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF",
            "address_2": "BLDG. 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034461",
            "telephone_number": "302-652-3016",
            "fax_number": "302-652-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONIVER FISS MANSOORY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "SCOLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "302-652-3016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "1989029182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Papastavros Associates Medical Imaging LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.