NPIMap

Organization Active NPI

SLR Diagnostic Radiology, P.C.

Doing business as Phillips Ambulatory Care Center

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1508033341
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SLR DIAGNOSTIC RADIOLOGY, P.C.
Doing business as
Phillips Ambulatory Care Center
Practice address
10 Union SQ E
Dept of Radiology, Suite 3P
New York, NY 10003-3314
Phone
(212) 844-8880
NPI assigned
May 12, 2008
Organization subpart
Yes
Parent organization
SLR DIAGNOSTIC RADIOLOGY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Jeanne Baer, M.D.
Title
Medical Director
Phone
(201) 830-3122

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X NY
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085D0003X NY
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X NY
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X NY
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X NY Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X NY
Radiological Physics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0205X NY
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X NY

Addresses

Primary practice location

10 Union SQ E
Dept of Radiology, Suite 3P
New York, NY 10003-3314

Mailing address

10 Exchange PL
14TH Floor WSBS
Jersey City, NJ 07302-3918
Phone (201) 830-3122

Other identifiers 1

IdentifierTypeStateIssuer
01002042MedicaidNY

Other names 1

  • Phillips Ambulatory Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SLR Diagnostic Radiolog5 organizations share this tax ID, including this one
Part of
SLR Diagnostic Radiolog

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1508033341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EXCHANGE PL",
            "address_2": "14TH FLOOR WSBS",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023918",
            "telephone_number": "201-830-3122",
            "fax_number": "201-200-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "DEPT OF RADIOLOGY, SUITE 3P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLR DIAGNOSTIC RADIOLOGY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLR DIAGNOSTIC RADIOLOGY, P.C.",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-830-3122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01002042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 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.