Organization Active NPI

Ramapo Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Suffern, NY
National Provider Identifier
1376593384
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43006092 Issued in NY
Legal business name
RAMAPO RADIOLOGY ASSOCIATES, P.C.
Practice address
255 Lafayette Ave
C/O Good Samaritan Hospital
Suffern, NY 10901-4817
Phone
(845) 368-5000
Fax
(845) 357-3579
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Lewis M Bobroff, M.D.
Title
President
Phone
(845) 368-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 43006092 NY Primary

Addresses

Primary practice location

255 Lafayette Ave
C/O Good Samaritan Hospital
Suffern, NY 10901-4817

Mailing address

255 Lafayette Ave
C/O Good Samaritan Hospital
Suffern, NY 10901-4817
Phone (845) 368-5000

Other identifiers 1

IdentifierTypeStateIssuer
00671985MedicaidNY

National Provider Directory

National Provider Directory

Locations

11 N Airmont Rd
Ste 6
Suffern, NY 10901

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1376593384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "address_2": "C/O GOOD SAMARITAN HOSPITAL",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014817",
            "telephone_number": "845-368-5000",
            "fax_number": "845-357-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "address_2": "C/O GOOD SAMARITAN HOSPITAL",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014817",
            "telephone_number": "845-368-5000",
            "fax_number": "845-357-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMAPO RADIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BOBROFF",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-368-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "43006092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.