NPIMap

Organization Active NPI

American Radiology Services Banyan Center, LLC

  • Diagnostic Radiology Physician
  • Bonita Springs, FL
National Provider Identifier
1598065542
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC7795 Issued in FL
Legal business name
AMERICAN RADIOLOGY SERVICES BANYAN CENTER, LLC
Practice address
9400 Bonita Beach Rd SE
Suite 201
Bonita Springs, FL 34135-4520
Phone
(239) 444-5698
Fax
(239) 444-5699
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Marc Marzano, MD
Title
Owner
Phone
(239) 430-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC7795 FL Primary

Addresses

Primary practice location

9400 Bonita Beach Rd SE
Suite 201
Bonita Springs, FL 34135-4520

Mailing address

500 W Main St
Suite 108
Babylon, NY 11702-3027
Phone (631) 517-8006

National Provider Directory

National Provider Directory
Tax ID family
American Radiology Services Banyan Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1598065542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUITE 108",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023027",
            "telephone_number": "631-517-8006",
            "fax_number": "631-517-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BONITA BEACH RD SE",
            "address_2": "SUITE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354520",
            "telephone_number": "239-444-5698",
            "fax_number": "239-444-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN RADIOLOGY SERVICES BANYAN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "MARZANO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-430-4674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC7795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.