NPIMap

Organization Active NPI

Advanced Radiological Imaging-Astoria PC

  • Diagnostic Radiology Physician
  • Astoria, NY
National Provider Identifier
1366490104
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED RADIOLOGICAL IMAGING-ASTORIA PC
Practice address
2916 Astoria Blvd
Astoria, NY 11102-1742
Phone
(718) 204-5800
Fax
(718) 721-4572
NPI assigned
May 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jay Tartell, MD
Title
President
Phone
(718) 204-5800

Practitioners 105

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

View all 105

National Provider Directory

National Provider Directory

Locations

2916 Astoria Blvd
Astoria, NY 11102
Phone (718) 204-5800

698 Manhattan Ave
Brooklyn, NY 11222
Phone (718) 383-2629

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2916 Astoria Blvd
Astoria, NY 11102-1742

Mailing address

PO Box 2002
East Syracuse, NY 13057-4502
Phone (315) 362-5285

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02442868MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2015.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1366490104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2002",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574502",
            "telephone_number": "315-362-5285",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021742",
            "telephone_number": "718-204-5800",
            "fax_number": "718-721-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGICAL IMAGING-ASTORIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "TARTELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-204-5800",
        "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": "02442868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.