Bab Nuclear Radiology, PC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BAB NUCLEAR RADIOLOGY, PC

Practice address

521 Route 111
Hauppauge, NY 11788-4370

Phone

(631) 265-9645

Fax

(631) 265-5589

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bonheim, MD

Title

Senior Partner

Phone

(631) 517-8006

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BAB Radiology Hauppauge Doing business as

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1376520213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18005",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117888805",
            "telephone_number": "631-517-8000",
            "fax_number": "631-893-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-265-9645",
            "fax_number": "631-265-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAB NUCLEAR RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BONHEIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "631-517-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8322",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAB Radiology Hauppauge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eugene R Avrash, D.D.S.
• Samantha Avrutine, OTR/L
• Deoushanay Bailey-Blockman
• Jaclyn Marie Bailey, LMHC
• Nantenin Bakayoko
• Ramak Bakhshoudeh, P.T.
• Ashok G Bale, RPH

• Radiology Clinic/Center in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.