Active NPI
Darius Melisaratos, MD, Radiology, PLLC
- Diagnostic Radiology Physician
- Staten Island, NY
National Provider Identifier
1124414636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DARIUS MELISARATOS, MD, RADIOLOGY, PLLC
- Practice address
- 345 Seaview Ave
Staten Island, NY 10305-2244 - Phone
- (718) 980-4888
- Fax
- (718) 980-4873
- NPI assigned
- Apr 10, 2015
- 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
- Darius P Melisaratos, M.D.
- Title
- Owner
- Phone
- (516) 874-8151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
345 Seaview Ave
Staten Island, NY 10305-2244
Mailing address
345 Seaview Ave
Staten Island, NY 10305-2244
Phone (718) 980-4888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180428 | Other | NY | NY LICENSE REGISTRATION |
| 040386 | Other | NY | MEDICARE PTAN |
| A400132968 | Other | NY | MEDICARE REASSIGNED PTAN |
Other names 1
- Precision Radiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
345 Seaview Ave
Staten Island, NY 10305
Phone (718) 668-2340
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": "1428624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1124414636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052244",
"telephone_number": "718-980-4888",
"fax_number": "718-980-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052244",
"telephone_number": "718-980-4888",
"fax_number": "718-980-4873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARIUS MELISARATOS, MD, RADIOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-10",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "MELISARATOS",
"authorized_official_first_name": "DARIUS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-874-8151",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE REGISTRATION",
"identifier": "180428",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "040386",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE REASSIGNED PTAN",
"identifier": "A400132968",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Precision Radiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.