Seaway Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

198556 Issued in NY

Legal business name

SEAWAY RADIOLOGY PC

Practice address

4 Fuller St
Alexandria Bay, NY 13607-1316

Phone

(315) 482-2511

NPI assigned

Sep 7, 2005

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali M Gharagozloo, M.D.NPI 1437142239

Title

Medical Director of Group

Phone

(315) 393-1215

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, CA, NC, OH, MA, FL, PA, CO, AZ9 enrollments

Enrollment records 9

Locations

Practitioners 18

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.

• Ali M Gharagozloo, MD

  • Diagnostic Radiology Physician
  • Ogdensburg, NY
  • NPI 1437142239
  Medicare reassignment Care Compare group NPD Authorized official
• Abbas A Chamsuddin, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1578539557

  FL

  Medicare reassignment Care Compare group NPD
• James Ivan Collins, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1366429383

  NY

  Medicare reassignment Care Compare group NPD
• Steven J Dileo, MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1932132941

  NY

  Medicare reassignment Care Compare group NPD
• Jerald D Hansing, MD

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1891795696
  Medicare reassignment Care Compare group NPD
• Pradheep J Shanker, M.D.

  • Body Imaging Physician
  • Columbus, OH
  • NPI 1457399818

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Michael Yuz, M.D.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1710972617
  Medicare reassignment Care Compare group NPD
• Thomas G Green, MD

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1689672057
  Medicare reassignment NPD
• Mark Kwalbrun, MD

  • Diagnostic Radiology Physician
  • Watertown, NY
  • NPI 1811997042
  Medicare reassignment NPD
• Maximina Boutselis, M.D.

  • Diagnostic Radiology Physician
  • West Newbury, MA
  • NPI 1013946094
  Medicare reassignment NPD
• Dennis M Burton, M.D.

  • Diagnostic Radiology Physician
  • Palm City, FL
  • NPI 1043298417
  Medicare reassignment NPD
• Aamer Z. Farooki, M.D.

  • Diagnostic Radiology Physician
  • Phoenixville, PA
  • NPI 1316941859
  Medicare reassignment NPD

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1124012018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DOCKSIDE DR # 27",
            "city": "MORRISTOWN",
            "state": "NY",
            "postal_code": "136643231",
            "telephone_number": "315-482-2511",
            "fax_number": "315-482-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FULLER ST",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071316",
            "telephone_number": "315-482-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAWAY RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GHARAGOZLOO",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OF GROUP",
        "authorized_official_telephone_number": "315-393-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "198556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02728623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Rowley, LMSW
• Edward J Ryan
• Molly Ryan
• Amanda Rydberg, PA
• Deborah Walldroff Schryver, M.S., LMHC, NCC
• Sharon Lynn Segouin, RPH
• Natalie Anne Shea, LMSW, CASAC-T
• Cynthia Lee Simpson, NP
• Jessica Michelle Smith
• Tyree Bernard Smith

• Diagnostic Radiology Physician in Alexandria Bay, NY
• Providers in Alexandria Bay, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.