Active NPI
Williamsville Medical Imaging PC
- Diagnostic Radiology Physician
- Williamsville, NY
National Provider Identifier
1396795944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WILLIAMSVILLE MEDICAL IMAGING PC
- Practice address
- 55 Spindrift Dr
Williamsville, NY 14221-7800 - Phone
- (716) 631-2500
- Fax
- (716) 631-1249
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janet H Sung, MD
- Title
- President
- Phone
- (716) 631-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
55 Spindrift Dr
Williamsville, NY 14221-7800
Mailing address
55 Spindrift Dr
Williamsville, NY 14221-7800
Phone (716) 631-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000515035001 | Other | NY | BCBS WNY GRP PROVIDER NUM |
| 01396721 | Medicaid | NY | |
| 4101645 | Other | NY | GHI PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Williamsville, NY
- NPI 1700826963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396795944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SPINDRIFT DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217800",
"telephone_number": "716-631-2500",
"fax_number": "716-631-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SPINDRIFT DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217800",
"telephone_number": "716-631-2500",
"fax_number": "716-631-1249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSVILLE MEDICAL IMAGING PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUNG",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-631-2500",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY GRP PROVIDER NUM",
"identifier": "000515035001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01396721",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "4101645",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
- Williamsville Clare Bridge Operator, Inc.
- Williamsville Dental Group
- Williamsville Family Chiropractic P.C.
- Williamsville Family Dentistry P.C.
- Williamsville Gastroenterology Associates P.C.
- Williamsville Obstetrics and Gynecology
- Williamsville Optical LLC
- Williamsville Orthopedic Surgery,PC
- Williamsville Pediatric Center
- Williamsville Physical Therapy PLLC
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.