Madison Radiology, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

02984 Issued in CT

Legal business name

MADISON RADIOLOGY, PC

Practice address

2 Samson Rock Dr
Madison, CT 06443-3005

Phone

(203) 245-7351

Fax

(203) 245-8838

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Jay

Title

President

Phone

(203) 245-7351

Specialties & licenses 2

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Madison Radiology PC

  dba Old Lyme Radiology

  • Mammography Clinic/Center
  • Madison, CT
  • NPI 1457382855
  NPPES parent name

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1215967260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAMSON ROCK DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433005",
            "telephone_number": "203-245-7351",
            "fax_number": "203-245-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAMSON ROCK DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433005",
            "telephone_number": "203-245-7351",
            "fax_number": "203-245-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-245-7351",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "02984",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "CT",
            "license": "02984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Dental Spa
• Madison Eye Care LLC
• Madison Optical
• Madison Pediatrics LLC
• Madison Radiology PC (Old Lyme Radiology)
• Madison Rehabilitation Center Inc (Select Physical Therapy)
• Magnolia Behavioral Health, LLC
• Karel J. Malovany, D.D.S.
• Lisa Ann Mammano, MS RPT
• Nancy M Mann, LCSW

• Diagnostic Radiology Physician in Madison, CT
• Providers in Madison, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.