Individual provider Active NPI

Maura L Noordhoorn, M.D.

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1255394433
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
207085 Issued in NY
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-1594
Fax
(718) 670-1901
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 207085 NY
Neuroradiology Physician 2085N0700X 207085 NY
Nuclear Radiology Physician 2085N0904X 207085 NY
Diagnostic Radiology Physician 2085R0202X 207085 NY Primary
Therapeutic Radiology Physician 2085R0203X 207085 NY
Diagnostic Ultrasound Physician 2085U0001X 207085 NY

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

3211 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 352-9850

Other identifiers 1

IdentifierTypeStateIssuer
02312930MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060104000304 NY Practitioner - Diagnostic Radiology 6204859309 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

15459 Riverside Dr
Beechhurst, NY 11357-1339
Phone (212) 965-9888

181 N Belle Mead Rd
East Setauket, NY 11733-3495
Phone (631) 246-5860

2 Robbins Dr
East Williston, NY 11596-2008
Phone (718) 428-1500

21 Ivy Close
Forest Hills, NY 11375-6020
Phone (718) 670-1050

3225 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 428-1500

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

5645 Main St
Flushing, NY 11355-5045
Phone (718) 428-1500

70 Washington Ave
Garden City, NY 11530-6233
Phone (201) 447-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207085NYMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Feb 15, 2022 Accepting new patients
Vascular Imaging, PC CurrentSince Dec 1, 2021 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jul 12, 2002 Accepting new patients
Valley Physician Services PC CurrentSince Oct 12, 2025 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jul 12, 2002 Accepting new patients

Locations

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

1509 Rockaway Pkwy
Brooklyn, NY 11236
Phone (631) 498-1394

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3211 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 352-9850

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (844) 734-2201

16215 Highland Ave
Ste 1A
Jamaica, NY 11432
Phone (631) 498-1394

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

16022 Willets Point Blvd
Whitestone, NY 11357
Phone (718) 352-9850

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: man9096@direct.nyp.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1255394433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FRANCIS LEWIS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581922",
            "telephone_number": "718-352-9850",
            "fax_number": "718-352-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1594",
            "fax_number": "718-670-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORDHOORN",
        "first_name": "MAURA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "207085",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "207085",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "207085",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "207085",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "207085",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "207085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.