NPIMap

Organization Active NPI

Arthur Avenue Radiology PC

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1366463465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ARTHUR AVENUE RADIOLOGY PC
Practice address
4422 3Rd Ave
St Barnabas Hospital Radiology Dept
Bronx, NY 10457-2545
Phone
(718) 960-6162
Fax
(718) 960-3612
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marie F Gade, MD
Title
President
Phone
(718) 960-6486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4422 3Rd Ave
St Barnabas Hospital Radiology Dept
Bronx, NY 10457-2545

Mailing address

PO Box 631
Port Washington, NY 11050-0631
Phone (516) 767-1755

Other identifiers 1

IdentifierTypeStateIssuer
01003552MedicaidNY

National Provider Directory

National Provider Directory

Locations

4422 3rd Ave
Ste 4
Bronx, NY 10457

Practitioners & affiliated clinicians

Practitioners 10

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366463465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110500631",
            "telephone_number": "516-767-1755",
            "fax_number": "516-767-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "address_2": "ST BARNABAS HOSPITAL RADIOLOGY DEPT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6162",
            "fax_number": "718-960-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR AVENUE RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GADE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-960-6486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01003552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, 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.

Verify at the official NPI Registry.