Northern Chautauqua Radiology LLC

Primary specialty

Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X

License

185798 Issued in NY

Legal business name

NORTHERN CHAUTAUQUA RADIOLOGY LLC

Practice address

189 E Main St
Westfield, NY 14787-1104

Phone

(716) 363-9342

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon A Muntz, MDNPI 1447309125

Title

President

Phone

(716) 363-6342

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Jon Alan Muntz, M.D.

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1447309125
  NPD (past) Authorized official
• Him-Wing Chan, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1679500771
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174743173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140630110",
            "telephone_number": "716-363-6342",
            "fax_number": "716-363-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871104",
            "telephone_number": "716-363-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CHAUTAUQUA RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNTZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-363-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "185798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026704301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000511785004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael F Ludwig, RPA-C
• Ryan Mayle, PA-C
• Mindful State Therapy Services LCSW PLLC
• Lauren Theresa Moore, O.D.
• Susan Murawski, FNP
• Sherry Northrop, LPN
• P&P Anesthesia Services Inc
• David Joseph Pacy, RPH
• Penn North Centers for Advanced Wound Care Inc
• Professional Community Pharmacies Inc (Westfield Community Pharmacy)

• Diagnostic Neuroimaging (Radiology) Physician in Westfield, NY
• Providers in Westfield, NY by specialty
• Diagnostic Neuroimaging (Radiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.