NPIMap

Organization Active NPI

Advanced M.R.I., PC-Raytel Medical Imaging-Queens

  • Radiology Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1124077938
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
H98008160678 Issued in NY
Legal business name
ADVANCED M.R.I., PC-RAYTEL MEDICAL IMAGING-QUEENS
Practice address
6860 Austin St
Forest Hills, NY 11375-4220
Phone
(718) 575-0500
Fax
(718) 275-1258
NPI assigned
May 9, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mr. Jeffrey M Flanegin
Title
President
Phone
(610) 831-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X H98008160678 NY Primary

Addresses

Primary practice location

6860 Austin St
Forest Hills, NY 11375-4220

Mailing address

7 Waterside Xing
3Rd Floor Attn: Karen Frisk, Contracting
Windsor, CT 06095-1540
Phone (800) 367-1095

National Provider Directory

National Provider Directory
Tax ID family
Advanced Mr Imaging PC - Bronx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1124077938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATERSIDE XING",
            "address_2": "3RD FLOOR ATTN: KAREN FRISK, CONTRACTING",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951540",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754220",
            "telephone_number": "718-575-0500",
            "fax_number": "718-275-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED M.R.I., PC-RAYTEL MEDICAL IMAGING-QUEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "FLANEGIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "H98008160678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.