Albany Advanced Imaging PLLC
Organization Active NPI Diagnostic Radiology Physician · Clifton Park, NY
NPI 1316922248 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1316922248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ALBANY ADVANCED IMAGING PLLC
- Practice address
- 648 Plank Rd
Clifton Park, NY 12065-2062 - Phone
- (518) 688-1177
- Fax
- (518) 688-1199
- NPI assigned
- Dec 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Robert Rapoport, MD
- Title
- President
- Phone
- (518) 688-1177
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 2
Practitioners 19
-
Martin L Banson, M.D.
-
Matthew Daniel Diamond, M.D.
-
David A Ellis, M.D.
-
Stephen A Hughes, M.D.
-
Hani G. Marar, MD
-
Jonathan D Mishkin, M.D.
-
Nicola Petitti, M.D.
-
Robert J Rapoport, M.D.
-
Lee M Ratner, M.D.
-
Edward Schreiber, MD
-
Steven P Smith, M.D.
-
Mark H Usow, M.D.
-
Andrew C Warheit, M.D.
-
Brian Paul Weiss, M.D.
-
Eric S. Korenman, M.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
- Tax ID family
- Albany Advanced Imaging PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
648 Plank Rd
Clifton Park, NY 12065-2062
Mailing address
PO Box 74
Latham, NY 12110-0074
Phone (518) 786-1299
Other providers in Clifton Park, NY
- Advanced Medical Billing and Staffing, LLC
- Neema R. Afejuku-Adelaja
- Suzanne Busun Ahn
- Shalini Ahuja
- Alan Sandler
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Troy Cataract & Laser Associates
- Edward Warren Alexander
All providers in Clifton Park, 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.