Active NPI
Mohawk Valley Imaging, PC
- Diagnostic Radiology Physician
- Utica, NY
National Provider Identifier
1528050036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 143769
- Legal business name
- MOHAWK VALLEY IMAGING, PC
- Practice address
- 2209 Genesee St
Utica, NY 13501-5930 - Phone
- (315) 798-8171
- Fax
- (315) 734-3084
- NPI assigned
- Aug 19, 2005
- 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. Raphael Alcuri, M.D.
- Title
- Director of Operations
- Phone
- (315) 798-8171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 143769 | NY | Primary |
Addresses
Primary practice location
2209 Genesee St
Utica, NY 13501-5930
Mailing address
4567 Crossroads Park Dr
2ND Floor
Liverpool, NY 13088-3589
Phone (315) 295-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00557846 | 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": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1528050036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4567 CROSSROADS PARK DR",
"address_2": "2ND FLOOR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883589",
"telephone_number": "315-295-2100",
"fax_number": "315-295-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-798-8171",
"fax_number": "315-734-3084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAWK VALLEY IMAGING, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "ALCURI",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "315-798-8171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "143769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00557846",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
- Mohawk Hospital Equipment, Inc.
- Mohawk Valley Cardiology PC
- Mohawk Valley Ec, LLC
- Mohawk Valley Family Medicine PLLC
- Mohawk Valley Home Care LLC
- Mohawk Valley Nephrology Associates, LLP
- Mohawk Valley Nutritional Services, PLLC
- Mohawk Valley Orthopedicsn LLP
- Mohawk Valley PC
- Mohawk Valley Psych Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.