Organization Active NPI

Radiology Associates of New Hartford LLP

  • Diagnostic Radiology Physician
  • Utica, NY
National Provider Identifier
1356387294
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF NEW HARTFORD LLP
Practice address
1656 Champlin Avenue
Faxton St Lukes Healthcare
Utica, NY 13502-4830
Phone
(315) 624-6116
Fax
(315) 624-6318
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Jeffery A. Silfer, MBA, PHD
Title
Chief Administrative Officer
Phone
(315) 793-8806

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

1656 Champlin Avenue
Faxton St Lukes Healthcare
Utica, NY 13502-4830

Mailing address

185 Genesee Street
Suite 600
Utica, NY 13501-2199
Phone (315) 793-8806

Other identifiers 3

IdentifierTypeStateIssuer
CK0054OtherNYRR MEDICARE
3647OtherNYCDPHP
00780718MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, CA, PA, FL, TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040520001050 NY Part B Supplier - Clinic/Group Practice 6002807831 Receives reassigned benefits from 21 practitioners
Practice locations: Rochester, NY; Utica, NY; Rome, NY; Barneveld, NY; Boonville, NY; Herkimer, NY; Ilion, NY; New Hartford, NY…
O20191125001520 AZ Part B Supplier - Clinic/Group Practice 6002807831 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20191231000666 CA Part B Supplier - Clinic/Group Practice 6002807831 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20201105000878 PA Part B Supplier - Clinic/Group Practice 6002807831 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA; Bath, PA
O20230222001825 FL Part B Supplier - Clinic/Group Practice 6002807831 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Mary, FL; Naples, FL
O20240827000508 TX Part B Supplier - Clinic/Group Practice 6002807831 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

13460 State Route 12
Boonville, NY 13309
Phone (315) 942-4391

201 E State St
Herkimer, NY 13350
Phone (315) 574-0026

295 W Main St
Ilion, NY 13357
Phone (315) 894-3132

106 Business Park Dr
Utica, NY 13502
Phone (315) 624-5510

1903 Sunset Ave
Ste 3
Utica, NY 13502
Phone (315) 797-1212

185 Genesee St
Ste 600
Utica, NY 13501
Phone (315) 793-5506

1903 Sunset Ave
Ste 600
Utica, NY 13502
Phone (315) 797-1212

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1356387294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GENESEE STREET",
            "address_2": "SUITE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVENUE",
            "address_2": "FAXTON ST LUKES HEALTHCARE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6116",
            "fax_number": "315-624-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF NEW HARTFORD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SILFER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "315-793-8806",
        "authorized_official_credential": "MBA, PHD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK0054",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "3647",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.