Charles Master, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

211094-1 Issued in NY

Practice address

4310 Kissena Blvd
Flushing, NY 11355-2922

Phone

(860) 792-1777

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

New York Medical College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canal Radiology Associates P.C.Group PAC ID 0143111047, 3 clinicians

Downstate Medical PCGroup PAC ID 0840666186, 3 clinicians

Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Canal Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1588775654
  Medicare reassignment Care Compare group NPD
• Downstate Medical PC

  • Diagnostic Ultrasound Physician
  • Brooklyn, NY
  • NPI 1811627904
  Medicare reassignment Care Compare group NPD
• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  Medicare reassignment NPD
• 7 Sky Imaging LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Port Jefferson Station, NY
  • NPI 1962111591
  NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Community Radiology

  • Specialist
  • Brooklyn, NY
  • NPI 1861764540
  NPD (past)
• E&S Sono Management Inc

  • Specialist
  • Brooklyn, NY
  • NPI 1366939001
  NPD (past)
• Maimonides Medical Center - MMC Radiology FPP

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1811948284
  NPD (past)
• Mercy Medical Center

  • Diagnostic Radiology Physician
  • Rockville Centre, NY
  • NPI 1124062369
  NPD (past)
• Pure Medical Services PC

  • Specialist
  • Rockville Centre, NY
  • NPI 1356831309
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1528052123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552922",
            "telephone_number": "860-792-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552922",
            "telephone_number": "860-792-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "211094-1",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "211094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Moy MD PC
• Kristina Marzocco
• Edna Mascreen, FNP-BC
• Maheer Muhammad Masood, MD
• Karen A Massa, RPH
• Yakhiel Matatov
• Yelizaveta Matatova, PHARMACIST
• Mira Matayeva, M.S.
• Betsy K Mathew
• Christine Mathew, MD

• Diagnostic Radiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.