Active NPI
Richmond Hill Radiology, P.C.
- Radiology Clinic/Center
- Richmond Hill, NY
National Provider Identifier
1174586879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 196198-1
- Legal business name
- RICHMOND HILL RADIOLOGY, P.C.
- Practice address
- 11614 Myrtle Ave
Richmond Hill, NY 11418-1748 - Phone
- (718) 846-0606
- Fax
- (718) 846-8684
- NPI assigned
- Apr 11, 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
- Wen Yi Wang, M.D.
- Title
- Medical Director
- Phone
- (718) 846-0606
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 |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 196198-1 | NY | Primary |
Addresses
Primary practice location
11614 Myrtle Ave
Richmond Hill, NY 11418-1748
Mailing address
11614 Myrtle Ave
Richmond Hill, NY 11418-1748
Phone (718) 846-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1854517 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4125 Kissena Blvd
Ste 122
Flushing, NY 11355
Phone (718) 321-2849
11614 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 846-0606
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Richmond Hill, NY
- NPI 1063476414
-
- Diagnostic Radiology Physician
- Richmond Hill, NY
- NPI 1790731818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632787200000",
"number": "1174586879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11614 MYRTLE AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181748",
"telephone_number": "718-846-0606",
"fax_number": "718-846-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11614 MYRTLE AVE",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181748",
"telephone_number": "718-846-0606",
"fax_number": "718-846-8684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND HILL RADIOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "WEN",
"authorized_official_middle_name": "YI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-846-0606",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NY",
"license": "196198-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1854517",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.