NPIMap

Organization Active NPI

Imaging Subspecialist of New York

  • Diagnostic Neuroimaging (Radiology) Physician
  • Middletown, NY
National Provider Identifier
1124655352
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
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
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vincent Graziano, MDNPI 1003002809
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)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

110 Crystal Run Rd
Middletown, NY 10941
Phone (845) 673-6446

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, and the practitioner matching its NPPES authorized official.

View all 32

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.

Verify at the official NPI Registry.