West Side Radiology Associates, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WEST SIDE RADIOLOGY ASSOCIATES, P.C.

Doing business as

Midtown Medical Pavilion

Practice address

425 West 59TH Street
New York, NY 10019

Phone

(212) 590-2900

Fax

(212) 523-7318

NPI assigned

Jun 29, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST SIDE RADIOLOGY ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Jay Lee, M.D

Title

President

Phone

(201) 830-3122

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Midtown Medical Pavilion Doing business as

Part of

Michael Abiri

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1326076357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10268",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115550268",
            "telephone_number": "201-830-3122",
            "fax_number": "201-200-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WEST 59TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-590-2900",
            "fax_number": "212-523-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE RADIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SIDE RADIOLOGY ASSOCIATES, P.C.",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-830-3122",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00418960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Medical Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.