Columbia Radiology at Lawrence

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

COLUMBIA RADIOLOGY AT LAWRENCE

Practice address

55 Palmer Ave
Bronxville, NY 10708-3403

Phone

(914) 787-3058

Fax

(914) 787-3108

NPI assigned

Aug 27, 2006

Organization subpart

No

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

Authorized official

Name

William Ladue

Title

Departmental Administrator

Phone

(212) 305-1948

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Trustees of Columbia University in the City of New York

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1467560854

  O20040318001241

  Same enrollment

Locations

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1184732497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST # 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-1948",
            "fax_number": "212-305-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PALMER AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083403",
            "telephone_number": "914-787-3058",
            "fax_number": "914-787-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RADIOLOGY AT LAWRENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "LADUE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DEPARTMENTAL ADMINISTRATOR",
        "authorized_official_telephone_number": "212-305-1948"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Rosario S Clemente, MA, ACNP-BC, ANP-C
• Jeffrey Ira Cohen, M.D.
• Jillian Ashley Cohen, FNP
• Marina Catherine Coleman, LCSW
• Domingo Colon
• Concordia College
• Greco Consing
• Ramona Yulieta Contreras Real
• Pauline E Copeland
• Cornerstone Pediatric Dentistry PC

• Diagnostic Radiology Physician in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.

Verify at the official NPI Registry.