Individual provider Active NPI

John M Athas, MD

  • Neuroradiology Physician
  • New York, NY
National Provider Identifier
1205826609
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD33578 Issued in DC
Practice address
325 5TH Ave
Suite 45a
New York, NY 10016-5038
Phone
(212) 532-4590
NPI assigned
Oct 26, 2005
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 241191 NY
Neuroradiology Physician 2085N0700X MD33578 DC Primary
Diagnostic Radiology Physician 2085R0202X MD33578 DC

Addresses

Primary practice location

325 5TH Ave
Suite 45a
New York, NY 10016-5038

Mailing address

325 5TH Ave
Suite 45a
New York, NY 10016-5038
Phone (212) 532-4590

Other identifiers 1

IdentifierTypeStateIssuer
02888351MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000038 NJ Practitioner - Diagnostic Radiology 6305861964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241191NYMDSpecialist
MD33578DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus MRI LLC CurrentSince Nov 2, 2016 Accepting new patients
Kayal Orthopaedic Center, P.C. CurrentSince Jan 22, 2017 Accepting new patients
Kayal Medical Group, LLC CurrentSince Jan 6, 2022 Accepting new patients
MRI Associates of Queens, PC Specialist Past Accepting new patients
Canal Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients
Washington Brain and Spine Institute PC Past Accepting new patients
Community Radiology Specialist Past Accepting new patients
Center Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

30 W Century Rd
Paramus, NJ 07652
Phone (201) 261-2000

30 W Century Rd
Ste 100
Paramus, NJ 07652
Phone (201) 261-2400

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1205826609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 5TH AVE",
            "address_2": "SUITE 45A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165038",
            "telephone_number": "212-532-4590",
            "fax_number": "917-595-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 5TH AVE",
            "address_2": "SUITE 45A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165038",
            "telephone_number": "212-532-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHAS",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "241191",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "DC",
            "license": "MD33578",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD33578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02888351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.