Organization Active NPI

Auburn Radiologic Associates

  • Diagnostic Radiology Physician
  • Auburn, NY
National Provider Identifier
1083670301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
138429 Issued in NY
Legal business name
AUBURN RADIOLOGIC ASSOCIATES
Practice address
144 Genesee St
Metcalf Plaza, Suite 304
Auburn, NY 13021-3503
Phone
(315) 258-8415
Fax
(315) 255-1129
NPI assigned
Apr 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Cannucciarri, MD
Title
MD
Phone
(315) 255-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 138429 NY Primary

Addresses

Primary practice location

144 Genesee St
Metcalf Plaza, Suite 304
Auburn, NY 13021-3503

Mailing address

281 Grant Ave
Auburn, NY 13021-1421
Phone (315) 255-2828

National Provider Directory

National Provider Directory

Locations

281 Grant Ave
Auburn, NY 13021
Phone (315) 253-4459

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083670301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 GRANT AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211421",
            "telephone_number": "315-255-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST",
            "address_2": "METCALF PLAZA, SUITE 304",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213503",
            "telephone_number": "315-258-8415",
            "fax_number": "315-255-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN RADIOLOGIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNUCCIARRI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-255-2828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "138429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.