Organization Active NPI

Union Square Radiology P.C.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1427411735
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
277403 Issued in NY
Legal business name
UNION SQUARE RADIOLOGY P.C.
Practice address
247 3Rd Ave
Suite 201
New York, NY 10010-7457
Phone
(212) 674-0444
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Terrance Lee, M.D.
Title
Medical Director
Phone
(212) 674-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 277403 NY Primary

Addresses

Primary practice location

247 3Rd Ave
Suite 201
New York, NY 10010-7457

Mailing address

200 Park Ave S
Suite 1103
New York, NY 10003-1503
Phone (212) 674-0444

Other identifiers 1

IdentifierTypeStateIssuer
1922106MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1427411735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE S",
            "address_2": "SUITE 1103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031503",
            "telephone_number": "212-674-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 3RD AVE",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107457",
            "telephone_number": "212-674-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE RADIOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-674-0444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "277403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.