Active NPI
Radiology Services of New York PC
- Diagnostic Radiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M98117385878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sasan Yasharpour, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02691647 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MN, TX, NJ, OH, CT
Enrollment records 6
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1144393224
O20040319000221
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1740353838
O20040319000221
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2124286 | Radiology Services of New York | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1740353838
Member Of
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.
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1346217791
-
- Diagnostic Radiology Physician
- Beachwood, OH
- NPI 1518924737
-
- Diagnostic Radiology Physician
- Jbsa Lackland, TX
- NPI 1710285630
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.