Active NPI
SLR Diagnostic Radiology, P.C.
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1124177159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SLR DIAGNOSTIC RADIOLOGY, P.C.
- Practice address
- 1111 Amsterdam Ave
Dept of Radiology
New York, NY 10025-1716 - Phone
- (201) 830-3122
- Fax
- (201) 200-0838
- NPI assigned
- Jan 9, 2007
- Organization subpart
- Yes
- Parent organization
- SLR DIAGNOSTIC RADIOLOGY, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne Baer, MD
- Title
- President
- Phone
- (201) 830-3122
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
1111 Amsterdam Ave
Dept of Radiology
New York, NY 10025-1716
Mailing address
10 Exchange PL
WSBS-14TH Floor
Jersey City, NJ 07302-3918
Phone (201) 830-8312
National Provider Directory
National Provider Directory- Tax ID family
- SLR Diagnostic Radiology PC
- Part of
- SLR Diagnostic Radiology PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1508033341
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1497038210
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1598048316
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821381633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1124177159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EXCHANGE PL",
"address_2": "WSBS-14TH FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023918",
"telephone_number": "201-830-8312",
"fax_number": "201-200-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"address_2": "DEPT OF RADIOLOGY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "201-830-3122",
"fax_number": "201-200-0838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLR DIAGNOSTIC RADIOLOGY, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SLR DIAGNOSTIC RADIOLOGY, P.C.",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "BAER",
"authorized_official_first_name": "JEANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-830-3122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 11, 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.