American Open MRI, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

125316 Issued in NY

Legal business name

AMERICAN OPEN MRI, PC

Practice address

11120 Queens Blvd
Forest Hills, NY 11375-6341

Phone

(718) 263-2208

Fax

(718) 263-3442

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Nadie Samaroo

Title

Office Manager

Phone

(718) 263-2208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHIRISH THANAWALA Other name

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1184861817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756341",
            "telephone_number": "718-263-2208",
            "fax_number": "718-263-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756341",
            "telephone_number": "718-263-2208",
            "fax_number": "718-263-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN OPEN MRI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "SAMAROO",
        "authorized_official_first_name": "NADIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-263-2208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "125316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00562809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIRISH THANAWALA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jenny Rachel Aminov
• Liora Aminov
• Margarita Aminov, RPH
• Michelle Aminov

• Diagnostic Radiology Physician in Forest Hills, NY
• Providers in Forest Hills, 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 Jan 23, 2009; 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.