Active NPI
High Peaks Radiology PC
- Diagnostic Radiology Physician
- Saranac Lake, NY
National Provider Identifier
1114096401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- HIGH PEAKS RADIOLOGY PC
- Practice address
- 2233 State Route 86
Lake Colby Drive
Saranac Lake, NY 12983-5644 - Phone
- (518) 897-2264
- Fax
- (518) 897-2260
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Michael Moccia, MD
- Title
- President High Peaks Radiology PC
- Phone
- (518) 897-2264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NY | Primary |
Addresses
Primary practice location
2233 State Route 86
Lake Colby Drive
Saranac Lake, NY 12983-5644
Mailing address
1900 Hempstead Turnpike
Suite 500
East Meadow, NY 11554
Phone (516) 542-1090
National Provider Directory
National Provider DirectoryLocations
29 Church St
Lake Placid, NY 12946
Phone (518) 523-1122
55 Church St
Tupper Lake, NY 12986
Phone (518) 359-2479
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Tupper Lake, NY
- NPI 1659978583
-
- Physical Therapist
- Tupper Lake, NY
- NPI 1528492865
-
- Physical Therapist
- Estero, FL
- NPI 1407103435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114096401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 HEMPSTEAD TURNPIKE",
"address_2": "SUITE 500",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-542-1090",
"fax_number": "516-794-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 STATE ROUTE 86",
"address_2": "LAKE COLBY DRIVE",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835644",
"telephone_number": "518-897-2264",
"fax_number": "518-897-2260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PEAKS RADIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOCCIA",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT HIGH PEAKS RADIOLOGY PC",
"authorized_official_telephone_number": "518-897-2264",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saranac Lake, 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.