Organization Active NPI

Nu Image Medical Associates, LLP

  • Family Medicine Physician
  • North Bellmore, NY
National Provider Identifier
1235257072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NU IMAGE MEDICAL ASSOCIATES, LLP
Practice address
2374 Jerusalem Ave
North Bellmore, NY 11710-1825
Phone
(516) 409-8311
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith S Leventhal, D.O.NPI 1144394214
Title
Partner
Phone
(516) 409-8311

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2374 Jerusalem Ave
North Bellmore, NY 11710-1825

Mailing address

2374 Jerusalem Ave
North Bellmore, NY 11710-1825
Phone (516) 409-8311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000645 NY Part B Supplier - Clinic/Group Practice 1850282492 Receives reassigned benefits from 2 practitioners
Practice locations: North Bellmore, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0985373Nu Image Medical Associates LLP2374 Jerusalem Avenue, North Bellmore, NY 11710Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235257072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101825",
            "telephone_number": "516-409-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101825",
            "telephone_number": "516-409-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU IMAGE MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVENTHAL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-409-8311",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.