West Side Radiology Associates, P.C.

Primary specialty

Radiological Physics PhysicianTaxonomy code 2085R0205X

Legal business name

WEST SIDE RADIOLOGY ASSOCIATES, P.C.

Practice address

1111 Amsterdam Ave
New York, NY 10025-1716

Phone

(212) 523-4699

NPI assigned

Jan 5, 2007

Last updated

Dec 28, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST SIDE RADIOLOGY ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Jeanne Baer

Title

President

Phone

(201) 830-3122

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• St. Lukes Roosvelt Hospital Other name

Part of

Richard E Lipset

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1578610838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10268",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115550268",
            "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": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE RADIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SIDE RADIOLOGY ASSOCIATES, P.C.",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-830-3122"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00418960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Lukes Roosvelt Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Radiological Physics Physician in New York, NY
• Providers in New York, NY by specialty
• Radiological Physics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.