Southtowns Radiology Associates, LLC
Organization Active NPI Diagnostic Radiology Physician · Hamburg, NY
NPI 1295779072 · NPPES record last updated Dec 9, 2014
Key facts
- NPI
- 1295779072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- SOUTHTOWNS RADIOLOGY ASSOCIATES, LLC
- Practice address
- 3040 Amsdell Rd
Hamburg, NY 14075-5835 - Phone
- (716) 649-9000
- Fax
- (716) 649-9005
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Edith R Haier
- Title
- Delegated Offical
- Phone
- (716) 649-9000
Other NPIs on the same Medicare enrollment 3
Practitioners 80
-
Gerald J. Joyce, MD
-
Zeeshan Qureshi, D.O
-
Asha Diane Ziembiec, M.D.
-
Paul J Lee, MD
-
Marcy A McIntosh, MD
-
Keith Kaplan, M.D.
-
Paul F Pizzella, MD
-
Joseph C Antonio, MD
-
Qadus Akram Awan, MD
-
Gregory Raymond Ball, MD, PH.D
-
Brittany Marie Cloud, D.O.
-
Ronald E Femia, M.D.
-
Mark Fenzl, MD
-
Thomas N. Folan, M.D.
-
Christine Geiger, NP
-
Jacob Griggs, MD
-
Omar Hasan, M.D.
-
Michael Licata, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (10 enrollments) in NY, FL, VA, IL, PA, TX, DC, NJ, WI, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000381 | NY | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 50 practitioners 3 other NPIs on this enrollment Practice locations: Albertson, NY; West Seneca, NY; Rochester, NY; Poughkeepsie, NY; Plattsburgh, NY; Orchard Park, NY; Old Westbury, NY; Newburgh, NY… |
| O20190906003042 | FL | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 1 practitioner Practice locations: Jacksonville, FL; Stuart, FL; Tampa, FL |
| O20240503000641 | VA | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 1 practitioner Practice locations: Bristol, VA |
| O20240708001358 | IL | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 4 practitioners Practice locations: Lisle, IL; Naperville, IL; Oak Brook, IL |
| O20240815000030 | PA | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 1 practitioner Practice locations: Pittsburgh, PA |
| O20240827004632 | TX | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 2 practitioners Practice locations: Sugar Land, TX |
| O20240909000056 | DC | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 4 practitioners Practice locations: Silver Spring, MD; Washington, DC |
| O20241014004165 | NJ | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 1 practitioner Practice locations: Princeton, NJ |
| O20250217001273 | WI | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, WI |
| O20251106000032 | NC | Part B Supplier - Clinic/Group Practice | 9830097542 |
Receives reassigned benefits from 2 practitioners Practice locations: Raleigh, NC; Waxhaw, NC |
National Provider Directory
Locations
3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700
12653 Seneca Rd
Irving, NY 14081
Phone (716) 934-9001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
3040 Amsdell Rd
Hamburg, NY 14075-5835
Mailing address
3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone (716) 649-9000
Other names
- Southtowns Radiology Associates, LLC.
Other providers in Hamburg, NY
- Mark Dennis Sokolowski
- South Towns Wellness LCSW PLLC
- Southtowns Acupuncture PLLC
- Southtowns Family Practice PC
- Southtowns Mental Health Counseling PC
- Southtowns Radiology Associates, LLC
- Stephanie Sova
- Julia Spencer
- SS. Peter&Paul School
- St Marys of the Lake School
All providers in Hamburg, 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 Dec 9, 2014. 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.