Active NPI
National Imaging P.C.
- Body Imaging Physician
- Philadelphia, PA
National Provider Identifier
1164536827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- NATIONAL IMAGING P.C.
- Practice address
- 1903 S Broad St # 05
Philadelphia, PA 19148-2216 - Phone
- (215) 463-1825
- Fax
- (215) 463-1828
- NPI assigned
- Aug 19, 2006
- 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
- Mr. Maury L. Rosenberg
- Title
- President
- Phone
- (215) 564-2800
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | Primary | ||
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
1903 S Broad St # 05
Philadelphia, PA 19148-2216
Mailing address
PO Box 768
New York, NY 10018-0025
Phone (410) 360-2233
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10228101 | Other | PA | AMERIGROUP |
| 0327002000 | Other | PA | INDEPENDANCE BLUE CROSS |
| 100731142000 | Medicaid | PA | |
| 095176 | Other | PA | BCBS PA |
| 1097153 | Other | PA | KEYSTONE |
Other names 1
- National Medical Imaging
National Provider Directory
National Provider DirectoryLocations
1903 S Broad St
#5
Philadelphia, PA 19148
Phone (215) 463-1825
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Body Imaging Physician
- Philadelphia, PA
- NPI 1194836221
-
- Diagnostic Radiology Physician
- Allentown, PA
- NPI 1720006018
-
- Diagnostic Radiology Physician
- Boca Raton, FL
- NPI 1639172695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1164536827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 768",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100180025",
"telephone_number": "410-360-2233",
"fax_number": "410-360-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 S BROAD ST # 05",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482216",
"telephone_number": "215-463-1825",
"fax_number": "215-463-1828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL IMAGING P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "MAURY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-564-2800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10228101",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDANCE BLUE CROSS",
"identifier": "0327002000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100731142000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PA",
"identifier": "095176",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "1097153",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "National Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.