NPIMap

Organization Active NPI

Bay Ridge Medical Imaging, PC

  • Nuclear Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1336372671
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
BAY RIDGE MEDICAL IMAGING, PC
Practice address
1220 Avenue P
Brooklyn, NY 11229-1009
Phone
(718) 375-1300
Fax
(718) 238-7005
NPI assigned
Sep 3, 2009
Last updated
Sep 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BAY RIDGE MEDICAL IMAGING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Abiri Shahrokh, M.D.
Title
President
Phone
(718) 238-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X NU Primary
Nuclear Cardiology Physician 207UN0901X NU
Nuclear Imaging & Therapy Physician 207UN0902X NU

Addresses

Primary practice location

1220 Avenue P
Brooklyn, NY 11229-1009

Mailing address

7601 4TH Ave
Brooklyn, NY 11209-3207
Phone (718) 238-7000

Other identifiers 1

IdentifierTypeStateIssuer
02390045MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Shahrokh Abiri7 organizations share this tax ID, including this one
Part of
Shahrokh Abiri

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1336372671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093207",
            "telephone_number": "718-238-7000",
            "fax_number": "718-238-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291009",
            "telephone_number": "718-375-1300",
            "fax_number": "718-238-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE MEDICAL IMAGING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY RIDGE MEDICAL IMAGING, PC",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "SHAHROKH",
        "authorized_official_first_name": "ABIRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02390045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.