Active NPI
Aviva Medical Imaging, P.C.
- Radiology Clinic/Center
- Bronx, NY
National Provider Identifier
1508068131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 146636-6
- Legal business name
- AVIVA MEDICAL IMAGING, P.C.
- Practice address
- 2055 Williamsbridge Rd
Bronx, NY 10461-1606 - Phone
- (718) 862-3760
- Fax
- (718) 824-3113
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Scott Schepp, MD
- Title
- Owner
- Phone
- (718) 862-3760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 146636-6 | NY | Primary |
Addresses
Primary practice location
2055 Williamsbridge Rd
Bronx, NY 10461-1606
Mailing address
2055 Williamsbridge Rd
Bronx, NY 10461-1606
Phone (718) 862-3760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01086855 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508068131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104611606",
"telephone_number": "718-862-3760",
"fax_number": "718-824-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104611606",
"telephone_number": "718-862-3760",
"fax_number": "718-824-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVIVA MEDICAL IMAGING, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHEPP",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-862-3760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NY",
"license": "146636-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01086855",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.