Organization Active NPI

Gun Hill MRI

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
National Provider Identifier
1265619654
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
GUN HILL MRI
Practice address
5500 Broadway
Suite 102
Bronx, NY 10463-5203
Phone
(718) 920-6528
NPI assigned
Jan 28, 2008
Organization subpart
Yes
Parent organization
GUN HILL MRIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Michael G. Dowling
Title
Director of Provider Services & Net
Phone
(914) 377-4688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

5500 Broadway
Suite 102
Bronx, NY 10463-5203

Mailing address

5500 Broadway
Suite 102
Bronx, NY 10463-5203

Other identifiers 1

IdentifierTypeStateIssuer
02751962MedicaidNY

Other names 1

  • Montefiore Vascular Access Doing business as

National Provider Directory

National Provider Directory
Part of
Gun Hill MRI PC

Locations

5500 Broadway
Ste 102
Bronx, NY 10463
Phone (347) 577-4950

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1265619654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROADWAY",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROADWAY",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635203",
            "telephone_number": "718-920-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUN HILL MRI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUN HILL MRI",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER SERVICES & NET",
        "authorized_official_telephone_number": "914-377-4688"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02751962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montefiore Vascular Access",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.