Organization Active NPI

Borg & Ide Imaging, PC

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1194714402
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BORG & IDE IMAGING, PC
Practice address
2263 S Clinton Ave
Rochester, NY 14618-2623
Phone
(585) 241-6400
Fax
(585) 241-6505
NPI assigned
Oct 19, 2005
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Frederick S Cohn, M.D.NPI 1700875002
Title
President
Phone
(585) 241-6400

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 Physician 2085R0202X NU Primary

Addresses

Primary practice location

2263 S Clinton Ave
Rochester, NY 14618-2623

Mailing address

2263 S Clinton Ave
Rochester, NY 14618-2623
Phone (585) 241-6400

Other identifiers 1

IdentifierTypeStateIssuer
01820319MedicaidNY

Other names 1

  • Ide Group, PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, PA, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031106000514 NY Part B Supplier - Clinic/Group Practice 9931012960 Receives reassigned benefits from 13 practitioners
Practice locations: Brockport, NY; New City, NY; Rochester, NY
O20190311000392 DC Part B Supplier - Clinic/Group Practice 9931012960 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20190423000843 PA Part B Supplier - Clinic/Group Practice 9931012960 Receives reassigned benefits from 1 practitioner
Practice locations: Garnet Valley, PA
O20190725000490 FL Part B Supplier - Clinic/Group Practice 9931012960 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

27037 Network Pl
Chicago, IL 60673

800 Ayrault Rd
Fairport, NY 14450
Phone (585) 271-0401

10 Hagen Dr
Ste 10
Rochester, NY 14625
Phone (585) 241-6650

1000 South Ave
Ste Mri
Rochester, NY 14620
Phone (585) 442-8858

120 Corporate Woods
Ste 220
Rochester, NY 14623

120 Erie Canal Dr
Ste 160
Rochester, NY 14626
Phone (585) 723-0111

1561 Long Pond Rd
Ste 113
Rochester, NY 14626
Phone (585) 241-6800

1815 S Clinton Ave
Ste 320
Rochester, NY 14618
Phone (585) 271-0401

2273 S Clinton Ave
Rochester, NY 14618
Phone (585) 473-8950

995 Senator Keating Blvd
#B
Rochester, NY 14618

995 Senator Keating Blvd
Bldg 3
Rochester, NY 14618
Phone (585) 241-6600

60 Barrett Dr
Ste 120
Webster, NY 14580
Phone (585) 872-4410

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1194714402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORG & IDE IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-241-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01820319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ide Group, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.