Organization Active NPI

Advantage Radiology. PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1508049735
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
226320 Issued in NY
Legal business name
ADVANTAGE RADIOLOGY. PC
Practice address
3049 Ocean Pkwy
Suite 101
Brooklyn, NY 11235-8302
Phone
(718) 648-5858
Fax
(718) 375-2735
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Steve B Losik, MDNPI 1689758567
Title
Owener
Phone
(718) 648-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 226320 NY Primary

Addresses

Primary practice location

3049 Ocean Pkwy
Suite 101
Brooklyn, NY 11235-8302

Mailing address

3049 Ocean Pkwy
Brooklyn, NY 11235-8372
Phone (718) 265-1000

Other identifiers 1

IdentifierTypeStateIssuer
02361291MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000058 NY Part B Supplier - Clinic/Group Practice 6406938265 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1110 Pennsylvania Ave
Ste 2
Brooklyn, NY 11207

1110 Pennsylvania Ave
Ste 1
Brooklyn, NY 11207

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1508049735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358372",
            "telephone_number": "718-265-1000",
            "fax_number": "718-265-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY",
            "address_2": "SUITE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358302",
            "telephone_number": "718-648-5858",
            "fax_number": "718-375-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE RADIOLOGY. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "LOSIK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "718-648-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "226320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02361291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.