Active NPI
West Side Radiology Associates, P.C.
- Radiological Physics Physician
- New York, NY
National Provider Identifier
1104973452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- Legal business name
- WEST SIDE RADIOLOGY ASSOCIATES, P.C.
- Practice address
- 1000 10TH Ave
Dept of Radiology
New York, NY 10019-1147 - Phone
- (212) 590-2930
- NPI assigned
- Jan 5, 2007
- Last updated
- Dec 28, 2007
- Organization subpart
- Yes
- Parent organization
- WEST SIDE RADIOLOGY ASSOCIATES, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Lee, MD
- Title
- President
- Phone
- (201) 830-3122
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Radiological Physics Physician | 2085R0205X | Primary |
Addresses
Primary practice location
1000 10TH Ave
Dept of Radiology
New York, NY 10019-1147
Mailing address
PO Box 10268
Uniondale, NY 11555-0268
Phone (201) 830-3122
Other names 1
- St Luke's-Roosevelt Hospital
National Provider Directory
National Provider Directory- Part of
- Alexander G Khandji
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1417984097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198800000000",
"number": "1104973452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10268",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115550268",
"telephone_number": "201-830-3122",
"fax_number": "201-200-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"address_2": "DEPT OF RADIOLOGY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-590-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SIDE RADIOLOGY ASSOCIATES, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST SIDE RADIOLOGY ASSOCIATES, P.C.",
"enumeration_date": "2007-01-05",
"last_updated": "2007-12-28",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-830-3122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiological Physics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Luke's-Roosevelt Hospital",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- West Side Medical Services, PC
- West Side Opticians
- West Side Physicians of Nyc, PLLC
- West Side Podiatric Association LLC
- West Side Psychotherapy, LCSW, P.C.
- West Side Radiology Associates, P.C. (Midtown Medical Pavilion)
- West Side Radiology Associates, P.C.
- West Side Radiology Associates, P.C. (Morningside Medical Pavilion)
- West Side Radiology Associates, PC
- West Side Radiology Associates, PC (Central Park Women's Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.