West Side Radiology Associates, P.C.

Primary specialty

Radiological Physics PhysicianTaxonomy code 2085R0205X

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

Organization subpart

Yes

Parent organization

WEST SIDE RADIOLOGY ASSOCIATES, P.C.As reported in NPPES

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

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• St Luke's-Roosevelt Hospital Other name

Part of

Carol Hilfer

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00418960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Luke's-Roosevelt Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Radiological Physics Physician in New York, NY
• Providers in New York, NY by specialty
• Radiological Physics Physician in New York

• 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.

Verify at the official NPI Registry.