Stand-Up MRI of East Elmhurst, P.C.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

STAND-UP MRI OF EAST ELMHURST, P.C.

Doing business as

dba: Stand-Up MRI of the South Bronx

Practice address

618 Morris Avenue
1St Floor
Bronx, NY 10451

Phone

(718) 540-6898

Fax

(718) 540-6899

NPI assigned

Aug 29, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harold M Tice, M.D.NPI 1386634939

Title

Owner

Phone

(631) 694-2929

Specialties & licenses 1

Addresses

Other names 1

• dba: Stand-Up MRI of the South Bronx Doing business as

Tax ID family

Dba Stand-Up MRI of the South Bronx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Stand-Up MRI of East Elmhurst, P.C.

  dba Stand-Up MRI of Great Neck

  • Radiology Clinic/Center
  • Great Neck, NY
  • NPI 1568828861
  NPD tax ID
• Stand-Up MRI of East Elmhurst, PC

  • Diagnostic Radiology Physician
  • East Elmhurst, NY
  • NPI 1558336420
  NPD tax ID

Locations

Practitioners 1

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.

• Harold Mitchell Tice, M.D.

  • Diagnostic Radiology Physician
  • Lynbrook, NY
  • NPI 1386634939
  NPD (past) Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1467172676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARCUS DRIVE",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474227",
            "telephone_number": "631-390-1793",
            "fax_number": "631-390-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MORRIS AVENUE",
            "address_2": "1ST FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-540-6898",
            "fax_number": "718-540-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND-UP MRI OF EAST ELMHURST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-694-2929",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba: Stand-Up MRI of the South Bronx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba: Stand-Up MRI of the South Bronx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morris Stampfer, MD
• Karlyia Iesha Stamps, B.A
• Marie Stamps
• Saray Stancic, M.D.
• Stand Pharmacy Inc (Sols Pharmacy)
• Stand-Up MRI of the Bronx, P.C.
• Lauren Elizabeth Stander, LMSW
• Kelsey Standish, MHC-LP
• Emily Virginia Stanford, MD
• Pamela Stanis, PNP

• Radiology Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.