Bab Nuclear Radiology, PC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BAB NUCLEAR RADIOLOGY, PC

Doing business as

BAB Radiology Bay Shore

Practice address

160 Brentwood Rd
Bay Shore, NY 11706-6948

Phone

(631) 666-7040

Fax

(631) 666-9168

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bonheim, MD

Title

Senior Partner

Phone

(631) 517-8006

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BAB Radiology Bay Shore Doing business as

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1578540506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18005",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117888805",
            "telephone_number": "631-517-8000",
            "fax_number": "631-893-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066948",
            "telephone_number": "631-666-7040",
            "fax_number": "631-666-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAB NUCLEAR RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BONHEIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "631-517-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558836",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAB Radiology Bay Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Constance Augustyn, LCSW
• Mohamed Awad, MD
• Awixa Home of Li, Inc
• Maryam Ayaz
• Asad Aziz
• Michele Lisa Babich, NP
• Laura Babyatzky, MS, RDN, CLC
• Jean Laroyce Bacon, PH.D.
• Jasia A Baig, PHD
• Robin Nicole Bailey, LPN

• Radiology Clinic/Center in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.