Albany Advanced Imaging PLLC
Organization Active NPI Diagnostic Radiology Physician · Albany, NY
NPI 1285047423 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1285047423
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ALBANY ADVANCED IMAGING PLLC
- Practice address
- 400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5013 - Phone
- (518) 618-1662
- Fax
- (518) 618-1664
- NPI assigned
- Jun 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Robert Rapoport, MD
- Title
- Medical Director
- Phone
- (518) 438-0600
Other NPIs on the same Medicare enrollment 3
Practitioners 3
-
Lee M Ratner, M.D.
-
Fatima Soliman, M.D., PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000901 | NY | Part B Supplier - Clinic/Group Practice | 1153308820 |
Receives reassigned benefits from 27 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clifton Park, NY; Albany, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5013
Mailing address
PO Box 74
Latham, NY 12110-0074
Phone (518) 786-1298
Other providers in Albany, NY
- Lavanya Alapati
- Raya Zaid Yousef Alashram
- Farah Emadeddin Alazizi
- Amr Albakry
- Albany Acupuncture Wellness PC
- Albany Advanced Imaging PLLC
- Albany Advanced Imaging PLLC
- Albany Behavioral Health
- Albany Behavioral Health Services,LLC
- Albany Capitaland Enterprises
All providers in Albany, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.