Organization Active NPI

New Rochelle Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • New Rochelle, NY
National Provider Identifier
1376539080
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEW ROCHELLE RADIOLOGY ASSOCIATES, P.C.
Practice address
175 Memorial Hwy
LL14
New Rochelle, NY 10801-5635
Phone
(914) 633-7700
Fax
(914) 576-8503
NPI assigned
Sep 27, 2005
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Debbie Armstrong
Title
Executive Assistant
Phone
(973) 418-6214

Specialties & licenses 1

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

Addresses

Primary practice location

175 Memorial Hwy
LL14
New Rochelle, NY 10801-5635

Mailing address

175 Memorial Hwy Ste LL14
New Rochelle, NY 10801-5655
Phone (914) 633-7700

Other identifiers 1

IdentifierTypeStateIssuer
03004042MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, LA, NJ, NC, PA, MD, AZ8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20040312000488 NY Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 25 practitioners
Practice locations: Amherst, NY; Cohoes, NY; East Aurora, NY; Ithaca, NY; Lagrangeville, NY; New Rochelle, NY; New Windsor, NY; Port Washington, NY…
O20221115001053 FL Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 2 practitioners
Practice locations: Delray Beach, FL; Palm Beach Gardens, FL
O20221123000056 LA Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA
O20221123001510 NJ Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 5 practitioners
Practice locations: Upper Saddle River, NJ; Ringwood, NJ; Fair Lawn, NJ; Bergenfield, NJ; Mendham, NJ
O20241031003737 NC Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC; Waxhaw, NC
O20250120000000 PA Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA; Sewickley, PA
O20250922002872 MD Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, MD
O20251223002263 AZ Part B Supplier - Clinic/Group Practice 8921997479 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

600 Mamaroneck Ave
Ste 102
Harrison, NY 10528
Phone (914) 468-1000

2678 South Rd
Ste 202
Poughkeepsie, NY 12601
Phone (914) 474-8484

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1376539080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY STE LL14",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015655",
            "telephone_number": "914-633-7700",
            "fax_number": "914-576-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "LL14",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-7700",
            "fax_number": "914-576-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROCHELLE RADIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "973-418-6214"
    },
    "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": "03004042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.