Active NPI
Monroe Radiological Associates PC
- Diagnostic Radiology Physician
- Rochester, NY
National Provider Identifier
1366408239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MONROE RADIOLOGICAL ASSOCIATES PC
- Practice address
- 1160 Chili Ave
Suite 120
Rochester, NY 14624-3035 - Phone
- (585) 436-5225
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Francis Stephenson, MD
- Title
- President Monroe Radiological Assoc
- Phone
- (585) 436-5225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1160 Chili Ave
Suite 120
Rochester, NY 14624-3035
Mailing address
1160 Chili Ave
Suite 120
Rochester, NY 14624-3035
Phone (585) 436-5225
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00462208 | Medicaid | NY | |
| 3726 | Other | BLUE CROSS BLUE SHIELD | |
| G171 | Other | PREFERRED CARE HMO | |
| G0180834590 | Other | BLUE CHOICE HMO |
Other names 1
- Westside Imaging Center
National Provider Directory
National Provider DirectoryLocations
1160 Chili Ave
Ste 120
Rochester, NY 14624
Phone (585) 436-5225
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1902868037
-
- Diagnostic Radiology Physician
- Geneva, NY
- NPI 1942261722
-
- Diagnostic Radiology Physician
- Pittsford, NY
- NPI 1548240666
-
- Diagnostic Radiology Physician
- Bradenton, FL
- NPI 1588656698
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1538155700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366408239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 CHILI AVE",
"address_2": "SUITE 120",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243035",
"telephone_number": "585-436-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 CHILI AVE",
"address_2": "SUITE 120",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243035",
"telephone_number": "585-436-5225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE RADIOLOGICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT MONROE RADIOLOGICAL ASSOC",
"authorized_official_telephone_number": "585-436-5225",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00462208",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3726",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE HMO",
"identifier": "G171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE HMO",
"identifier": "G0180834590",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westside Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.