Organization Active NPI

High Peaks Radiology PC

  • Diagnostic Radiology Physician
  • Saranac Lake, NY
National Provider Identifier
1114096401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.