NPIMap

Organization Active NPI

Adirondack Radiology Associates, PC

Doing business as MRI at the Pruyn Pavilion

  • Diagnostic Radiology Physician
  • Glens Falls, NY
National Provider Identifier
1144582362
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
153747 Issued in NY
Legal business name
ADIRONDACK RADIOLOGY ASSOCIATES, PC
Doing business as
MRI at the Pruyn Pavilion
Practice address
102 Park St
Glens Falls, NY 12801-4403
Phone
(518) 793-1000
Fax
(518) 793-1976
NPI assigned
Jun 13, 2012
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Judith Bernard
Title
Billing Director
Phone
(518) 793-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X
Diagnostic Radiology Physician 2085R0202X 153747 NY Primary

Addresses

Primary practice location

102 Park St
Glens Falls, NY 12801-4403

Mailing address

PO Box 985
Glens Falls, NY 12801-0985
Phone (518) 793-1000

Other names 1

  • MRI at the Pruyn Pavilion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adirondack Radiology Associates PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1144582362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010985",
            "telephone_number": "518-793-1000",
            "fax_number": "518-793-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014403",
            "telephone_number": "518-793-1000",
            "fax_number": "518-793-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK RADIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "518-793-1000"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "153747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI at the Pruyn Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.