Active NPI
West Side Radiology Associates, PC
Doing business as Central Park Women's Imaging
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1528116084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WEST SIDE RADIOLOGY ASSOCIATES, PC
- Doing business as
- Central Park Women's Imaging
- Practice address
- 1790 Broadway
9TH Floor
New York, NY 10019-1412 - Phone
- (212) 590-5500
- Fax
- (212) 590-5510
- NPI assigned
- Jan 8, 2007
- Organization subpart
- Yes
- Parent organization
- WEST SIDE RADIOLOGY ASSOCIATES, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Lee, MD
- Title
- President
- Phone
- (201) 830-3122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NY | Primary |
Addresses
Primary practice location
1790 Broadway
9TH Floor
New York, NY 10019-1412
Mailing address
10 Exchange PL
WSBS-14TH Floor
Jersey City, NJ 07302-3918
Phone (201) 830-3122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00418960 | Medicaid | NY |
Other names 1
- Central Park Women's Imaging
National Provider Directory
National Provider Directory- Part of
- Andrew J Derogatis
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1528116084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EXCHANGE PL",
"address_2": "WSBS-14TH FLOOR",
"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": "1790 BROADWAY",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191412",
"telephone_number": "212-590-5500",
"fax_number": "212-590-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SIDE RADIOLOGY ASSOCIATES, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST SIDE RADIOLOGY ASSOCIATES, PC",
"enumeration_date": "2007-01-08",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-830-3122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00418960",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Park Women's Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New York, NY
- West Side Radiology Associates, P.C.
- West Side Radiology Associates, P.C. (Midtown Medical Pavilion)
- West Side Radiology Associates, P.C.
- West Side Radiology Associates, P.C. (Morningside Medical Pavilion)
- West Side Radiology Associates, PC
- West Side Radiology Associates, PC (Columus Circle Imaging)
- West Side Radiology Associates, PC
- West Village Addiction Psychiatry
- West Village Eyecare Associates
- West Village Podiatric Surgical PC (Foot & Ankle Surgeons of New York)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.