Active NPI
Imaging Subspecialist of New York
- Diagnostic Neuroimaging (Radiology) Physician
- Middletown, NY
National Provider Identifier
1124655352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- Legal business name
- IMAGING SUBSPECIALIST OF NEW YORK
- Practice address
- 110 Crystal Run Rd
Middletown, NY 10941-4040 - Phone
- (845) 673-6446
- NPI assigned
- Mar 26, 2020
- 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
- Dr. Vincent Graziano, MD
- Title
- President
- Phone
- (646) 407-2044
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 Neuroimaging (Radiology) Physician | 2085D0003X | Primary |
Addresses
Primary practice location
110 Crystal Run Rd
Middletown, NY 10941-4040
Mailing address
285 River Rd
Nyack, NY 10960-5001
Phone (646) 407-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210209002443 | NY | Part B Supplier - Clinic/Group Practice | 4688089451 |
Receives reassigned benefits from 14 practitioners Practice locations: Middletown, NY; Yorktown Heights, NY |
National Provider Directory
National Provider DirectoryLocations
192 Tower Dr
Ste 500
Middletown, NY 10941
345 Kear St
Yorktown Hts, NY 10598
Phone (914) 243-7462
Practitioners & affiliated clinicians
Practitioners 32
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": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585180800000",
"number": "1124655352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 RIVER RD",
"city": "NYACK",
"state": "NY",
"postal_code": "109605001",
"telephone_number": "646-407-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414040",
"telephone_number": "845-673-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING SUBSPECIALIST OF NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A",
"authorized_official_last_name": "GRAZIANO",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-407-2044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.