Active NPI
New York Radiogoly Associate
- Radiological Physics Physician
- New York, NY
National Provider Identifier
1124176789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiological Physics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01538852 | Medicaid | NY |
Other names 1
- UNION SQUARE DIAGNOSTIC IMAGING
National Provider Directory
National Provider Directory- Tax ID family
- New York Radiogoly Associate
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiological Physics Physician
- New York, NY
- NPI 1679621338
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1639105703
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"
}
]
}
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- New York Pulmonary & Sleep Medicine PC
- New York Pulmonary Associates, P.C.
- New York Radiology Assocaites
- New York Radiology Associates
- New York Radiology Associates
- New York Rehabilitation Medicine, PLLC
- New York Remote Medical PC
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.