Organization Active NPI

Radiology Services of New York PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1184691537
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M98117385878 Issued in NY
Legal business name
RADIOLOGY SERVICES OF NEW YORK PC
Practice address
2777 Hylan Blvd
Staten Island, NY 10306-4660
Phone
(718) 979-0100
Fax
(718) 979-3602
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dr. Sasan Yasharpour, MDNPI 1346217791
Title
Medical Director
Phone
(718) 979-0100

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X M98117385878 NY Primary

Addresses

Primary practice location

2777 Hylan Blvd
Staten Island, NY 10306-4660

Mailing address

2777 Hylan Blvd
Staten Island, NY 10306-4660
Phone (718) 979-0100

Other identifiers 1

IdentifierTypeStateIssuer
02691647MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN, TX, NJ, OH, CT6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040319000221 NY Part B Supplier - Clinic/Group Practice 0648160879 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Staten Island, NY
O20201217000652 MN Part B Supplier - Clinic/Group Practice 0648160879 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MN
O20210513000135 TX Part B Supplier - Clinic/Group Practice 0648160879 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20210519001950 NJ Part B Supplier - Clinic/Group Practice 0648160879 Receives reassigned benefits from 1 practitioner
Practice locations: Tinton Falls, NJ
O20221205002700 OH Part B Supplier - Clinic/Group Practice 0648160879 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH
O20230131002043 CT Part B Supplier - Clinic/Group Practice 0648160879 Receives reassigned benefits from 1 practitioner
Practice locations: New Haven, CT

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2124286Radiology Services of New York2777 Hylan Blvd, Staten Island, NY 10306Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

601 N Caroline St
Rm 5165
Baltimore, MD 21287
Phone (410) 955-8344

2777 Hylan Blvd
Ofc
Staten Island, NY 10306

Practitioners & affiliated clinicians

Practitioners 6

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": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1184691537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064660",
            "telephone_number": "718-979-0100",
            "fax_number": "718-979-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064660",
            "telephone_number": "718-979-0100",
            "fax_number": "718-979-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY SERVICES OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "YASHARPOUR",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-979-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "M98117385878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02691647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.