Organization Active NPI

21St Century Radiology and Imaging, PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1093721367
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
197988 Issued in NY
Legal business name
21ST CENTURY RADIOLOGY AND IMAGING, PC
Practice address
8686 Bay Pkwy
Suite M3
Brooklyn, NY 11214-5119
Phone
(718) 333-0022
Fax
(718) 333-0054
NPI assigned
Jul 31, 2006
Last updated
Aug 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Ms. Yanina Karlinsky
Title
Office Manager
Phone
(718) 333-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 197988 NY Primary

Addresses

Primary practice location

8686 Bay Pkwy
Suite M3
Brooklyn, NY 11214-5119

Mailing address

8686 Bay Pkwy
Suite M3
Brooklyn, NY 11214-5119
Phone (718) 333-0022

Other identifiers 1

IdentifierTypeStateIssuer
01663776MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000069 NY Part B Supplier - Clinic/Group Practice 8921187436 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3044 Coney Island Ave
Lbby
Brooklyn, NY 11235
Phone (718) 891-2100

3140 Coney Island Ave
Brooklyn, NY 11235

3140 Coney Island Ave
Fl 5
Brooklyn, NY 11235
Phone (718) 891-2100

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1093721367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 BAY PKWY",
            "address_2": "SUITE M3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145119",
            "telephone_number": "718-333-0022",
            "fax_number": "718-333-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 BAY PKWY",
            "address_2": "SUITE M3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145119",
            "telephone_number": "718-333-0022",
            "fax_number": "718-333-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY RADIOLOGY AND IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "KARLINSKY",
        "authorized_official_first_name": "YANINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-333-0022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "197988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.