Individual provider Active NPI

Jay Allen Garsman, M.D.

  • Diagnostic Radiology Physician
  • Ozone Park, NY
National Provider Identifier
1265415038
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
114166 Issued in NY
Practice address
9705 101St Ave
Ozone Park, NY 11416-2523
Phone
(718) 848-0606
NPI assigned
Nov 25, 2005
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 25MA03219200 NJ
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 114166 NY
Diagnostic Radiology Physician 2085R0202X 114166 NY Primary
Diagnostic Radiology Physician 2085R0202X 25MA03219200 NJ
Diagnostic Ultrasound Physician 2085U0001X 25MA03219200 NJ
Diagnostic Ultrasound Physician 2085U0001X 114166 NY

Addresses

Primary practice location

9705 101St Ave
Ozone Park, NY 11416-2523

Mailing address

9705 101St Ave
Ozone Park, NY 11416-2523
Phone (718) 848-0606

Other identifiers 2

IdentifierTypeStateIssuer
0681202MedicaidNJ
01544063MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03219200NJMDMagnetic Resonance Imaging (MRI) Clinic/Center
114166NYMDMagnetic Resonance Imaging (MRI) Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates PA Diagnostic Radiology Past Accepting new patients
Cliffside Park Imaging and Diagnostic Center, LLC Diagnostic Radiology PastSince Jun 1, 2016 Accepting new patients
Ironbound MRI, LLC Past Accepting new patients
Quality Diagnostic Imaging PC Diagnostic Radiology PastSince Mar 1, 2003 Accepting new patients
Imaging Associates PA Diagnostic Radiology Past Accepting new patients
Radiology of New York P.C. Diagnostic Radiology Past Accepting new patients
Allmedical Service, Inc. Past Accepting new patients
Irvington Medical Imaging P.C. Magnetic Resonance Imaging (MRI) PastSince Mar 19, 2008 Accepting new patients

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1265415038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162523",
            "telephone_number": "718-848-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162523",
            "telephone_number": "718-848-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSMAN",
        "first_name": "JAY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "25MA03219200",
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NY",
            "license": "114166",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "114166",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA03219200",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA03219200",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "114166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681202",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01544063",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.