NPIMap

Organization Active NPI

Neighborhood Radiology Services, P.C.

  • Diagnostic Radiology Physician
  • Forest Hills, NY
National Provider Identifier
1154718757
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40508697 Issued in NY
Legal business name
NEIGHBORHOOD RADIOLOGY SERVICES, P.C.
Practice address
11302 Queens Blvd
Forest Hills, NY 11375-6468
Phone
(718) 544-3066
Fax
(718) 275-3123
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Mrs. Linda M Bolger
Title
Director of Managed Care
Phone
(516) 495-7129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 40508697 NY Primary

Addresses

Primary practice location

11302 Queens Blvd
Forest Hills, NY 11375-6468

Mailing address

11302 Queens Blvd
Forest Hills, NY 11375-6468
Phone (718) 544-3066

Other identifiers 1

IdentifierTypeStateIssuer
04110909MedicaidNY

National Provider Directory

National Provider Directory

Locations

2747 Crescent St
Ste 107
Astoria, NY 11102
Phone (718) 728-3200

752 Elmont Rd
Elmont, NY 11003
Phone (516) 437-2418

9001 Roosevelt Ave
Ste 2
Jackson Heights, NY 11372

9001 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 396-2005

316 E 30th St
Bsmt 1
New York, NY 10016
Phone (212) 447-9800

13118 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 529-2200

Practitioners & affiliated clinicians

Practitioners 9

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": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1154718757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756468",
            "telephone_number": "718-544-3066",
            "fax_number": "516-495-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756468",
            "telephone_number": "718-544-3066",
            "fax_number": "718-275-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD RADIOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "BOLGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "516-495-7129",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "40508697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04110909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.