Organization Active NPI

Imaging Radiology Associates,LLC

  • Diagnostic Radiology Physician
  • Elmira, NY
National Provider Identifier
1356587414
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IMAGING RADIOLOGY ASSOCIATES,LLC
Practice address
751 E Church St
Elmira, NY 14901-2836
Phone
(607) 767-1122
Fax
(607) 767-1121
NPI assigned
Dec 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Dr. Kenneth Pearsen, M.D.
Title
Medical Director
Phone
(845) 692-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

751 E Church St
Elmira, NY 14901-2836

Mailing address

779 Route 211 E
Middletown, NY 10941-1459
Phone (845) 692-9730

National Provider Directory

National Provider Directory

Locations

751 E Church St
Elmira, NY 14901
Phone (607) 767-1122

160 Fairview Ave
Hudson, NY 12534
Phone (518) 822-1700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1356587414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411459",
            "telephone_number": "845-692-9730",
            "fax_number": "845-692-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012836",
            "telephone_number": "607-767-1122",
            "fax_number": "607-767-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING RADIOLOGY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "PEARSEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-692-9730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.