Organization Active NPI

New York Radiogoly Associate

  • Radiological Physics Physician
  • New York, NY
National Provider Identifier
1124176789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
Legal business name
NEW YORK RADIOGOLY ASSOCIATE
Practice address
140 4TH Ave
Lower Level
New York, NY 10003-4901
Phone
(212) 590-2930
NPI assigned
Jan 8, 2007
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
Michael Abiri
Title
Chairman
Phone
(212) 590-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0205X Primary

Addresses

Primary practice location

140 4TH Ave
Lower Level
New York, NY 10003-4901

Mailing address

1780 Broadway
Suite 1100
New York, NY 10019-1414
Phone (212) 590-2930

Other identifiers 1

IdentifierTypeStateIssuer
01538852MedicaidNY

Other names 1

  • UNION SQUARE DIAGNOSTIC IMAGING Other name

National Provider Directory

National Provider Directory
Tax ID family
New York Radiogoly Associate2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

140 4th Ave
Lowr
New York, NY 10003
Phone (212) 473-2300

Practitioners & affiliated clinicians

Practitioners 1

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124176789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 BROADWAY",
            "address_2": "SUITE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191414",
            "telephone_number": "212-590-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 4TH AVE",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034901",
            "telephone_number": "212-590-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK RADIOGOLY ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABIRI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "212-590-2900"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01538852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNION SQUARE DIAGNOSTIC IMAGING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, 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.