Organization Active NPI

Nuclear Imaging of New Rochelle, P.C.

  • Cardiovascular Disease Physician
  • New Rochelle, NY
National Provider Identifier
1093937294
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NUCLEAR IMAGING OF NEW ROCHELLE, P.C.
Practice address
421 Huguenot Street
Suite 42
New Rochelle, NY 10801-5635
Phone
(914) 633-3000
Fax
(914) 633-3082
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Michael Mutone, M.D.NPI 1528151925
Title
Principal
Phone
(914) 633-3000

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

421 Huguenot Street
Suite 42
New Rochelle, NY 10801-5635

Mailing address

421 Huguenot Street
Suite 42
New Rochelle, NY 10801-5635
Phone (914) 633-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000330 NY Part B Supplier - Clinic/Group Practice 9830093293 Receives reassigned benefits from 1 practitioner
Practice locations: New Rochelle, NY

National Provider Directory

National Provider Directory

Locations

421 Huguenot St
Ste 42
New Rochelle, NY 10801
Phone (914) 235-5757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1093937294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT STREET",
            "address_2": "SUITE 42",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-3000",
            "fax_number": "914-633-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 HUGUENOT STREET",
            "address_2": "SUITE 42",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-3000",
            "fax_number": "914-633-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR IMAGING OF NEW ROCHELLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "MUTONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "914-633-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.