NPIMap

Organization Active NPI

Radiology Associates of Main Street PC

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1265529101
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF MAIN STREET PC
Doing business as
Radiology Associates of Main Street PC
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-1050
Fax
(718) 670-1901
NPI assigned
Oct 10, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Ari Jonisch, MDNPI 1841466042
Title
Authorized Official
Phone
(718) 428-1500

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
Diagnostic Radiology Physician 2085R0202X Primary

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
01791762MedicaidNY

Other names 1

  • Radiology Associates of Main Street PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT, VA, UT, MA, FL7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20040824000320 NY Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 65 practitioners
O20170210000042 NJ Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 2 practitioners
Practice locations: Teaneck, NJ; Ridgewood, NJ; Paramus, NJ
O20181106000308 CT Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 4 practitioners
Practice locations: Weston, CT; Ridgefield, CT; Greenwich, CT
O20221213001400 VA Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA
O20241218000243 UT Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20251119002399 MA Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, MA
O20251218001242 FL Part B Supplier - Clinic/Group Practice 5799677522 Receives reassigned benefits from 1 practitioner
Practice locations: Newberry, FL

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

223 N Van Dien Ave
Ste 1
Ridgewood, NJ 07450

301 Elizabeth St
#80
New York, NY 10012

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

Practitioners & affiliated clinicians

Practitioners 97

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.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1265529101",
    "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": "718-670-1050",
            "fax_number": "718-670-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF MAIN STREET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "JONISCH",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-428-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01791762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Associates of Main Street PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.