Organization Active NPI

Ramapo Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Pomona, NY
National Provider Identifier
1417907411
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43006170 Issued in NY
Legal business name
RAMAPO RADIOLOGY ASSOCIATES, P.C.
Practice address
972 Route 45
Pomona Professional Plaza
Pomona, NY 10970-3519
Phone
(845) 354-7700
Fax
(845) 354-8725
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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 43006170 NY Primary

Addresses

Primary practice location

972 Route 45
Pomona Professional Plaza
Pomona, NY 10970-3519

Mailing address

972 Route 45
Pomona Professional Plaza
Pomona, NY 10970-3519
Phone (845) 354-7700

Other identifiers 1

IdentifierTypeStateIssuer
00671985MedicaidNY

National Provider Directory

National Provider Directory

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": "1235520000000",
    "number": "1417907411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 ROUTE 45",
            "address_2": "POMONA PROFESSIONAL PLAZA",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703519",
            "telephone_number": "845-354-7700",
            "fax_number": "845-354-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 ROUTE 45",
            "address_2": "POMONA PROFESSIONAL PLAZA",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703519",
            "telephone_number": "845-354-7700",
            "fax_number": "845-354-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMAPO RADIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-02-25",
        "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": "43006170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.