Individual provider Active NPI

Charbel Ishak, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1598052292
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
266333 Issued in NY
Practice address
1650 Selwyn Ave
Bronx, NY 10457-7626
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 266333 NY
Diagnostic Radiology Physician 2085R0202X 266333 NY Primary

Addresses

Primary practice location

1650 Selwyn Ave
Bronx, NY 10457-7626

Mailing address

52 Main St
Bedford Hills, NY 10507-1814
Phone (914) 666-2220

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131016000390 NY Practitioner - Diagnostic Radiology 7214161744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

12 PVT Lovett CT
Blauvelt, NY 10913-1247
Phone (718) 223-4685

Hospital & facility affiliations

  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395
  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Mar 18, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Oct 1, 2015 Accepting new patients

Locations (25 of 39)

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

4507 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

275 North St
Harrison, NY 10528
Phone (914) 925-5211

712 Main St
Islip, NY 11751
Phone (631) 666-3939

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

877 E Main St
Ste 106
Riverhead, NY 11901
Phone (631) 727-0660

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1598052292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071814",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "CHARBEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "266333",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "266333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.