Organization Active NPI

CR Medical Imaging PC

  • Radiology Clinic/Center
  • New York, NY
National Provider Identifier
1215864442
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CR MEDICAL IMAGING PC
Practice address
110 E 60TH St
Lower Level
New York, NY 10022-1694
Phone
(212) 363-7315
Fax
(212) 363-7316
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Fabiola Elezi
Title
Chief Operating Officer
Phone
(212) 363-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

110 E 60TH St
Lower Level
New York, NY 10022-1694

Mailing address

110 E 60TH St
Lower Level
New York, NY 10022-1694
Phone (212) 363-7315

Other names 1

  • Central Park Advanced Imaging Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260617001301 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6608348016 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

110 E 60th St
Lowr
New York, NY 10022
Phone (212) 363-7315

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1215864442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221694",
            "telephone_number": "212-363-7315",
            "fax_number": "212-363-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221694",
            "telephone_number": "212-363-7315",
            "fax_number": "212-363-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR MEDICAL IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "ELEZI",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "212-363-7315"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Park Advanced Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.