Organization Active NPI

Healthcare Associates in Medicine PC

Doing business as Imaging Center of Staten Island

  • Diagnostic Neuroimaging (Radiology) Physician
  • Staten Island, NY
National Provider Identifier
1184888745
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
Legal business name
HEALTHCARE ASSOCIATES IN MEDICINE PC
Doing business as
Imaging Center of Staten Island
Practice address
65 Columbus Ave
Staten Island, NY 10304
Phone
(718) 448-3210
Fax
(718) 816-9288
NPI assigned
Jul 14, 2008
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHCARE ASSOCIATES IN MEDICINE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Paul I Berkley, CMPE
Title
Administrator
Phone
(718) 448-3210

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085D0003X Primary
Neuroradiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0700X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

65 Columbus Ave
Staten Island, NY 10304

Mailing address

2535 Arthur Kill Rd
Staten Island, NY 10309-1207
Phone (718) 448-3210

Other practice location 1

3333 Hylan Blvd
Staten Island, NY 10306-3608
Phone (718) 448-3210

Other names 1

  • Imaging Center of Staten Island Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neuroscience Associates2 organizations share this tax ID, including this one
Part of
Neuroscience Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

65 Columbus Ave
Staten Island, NY 10304

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1184888745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091207",
            "telephone_number": "718-448-3210",
            "fax_number": "718-984-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COLUMBUS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-448-3210",
            "fax_number": "718-816-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063608",
            "country_code": "US",
            "telephone_number": "718-448-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHCARE ASSOCIATES IN MEDICINE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE ASSOCIATES IN MEDICINE PC",
        "enumeration_date": "2008-07-14",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "BERKLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-448-3210",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaging Center of Staten Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imaging Center of Staten Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2018; 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.