Active NPI
Vivian F Tom, M.D.
- Diagnostic Radiology Physician
- New Hartford, NY
National Provider Identifier
1619082419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 178104
- Practice address
- 1729 Burrstone Rd
New Hartford, NY 13413-1001 - Phone
- (315) 798-1500
- Fax
- (315) 798-1707
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 178104 | NY | Primary |
Addresses
Primary practice location
1729 Burrstone Rd
New Hartford, NY 13413-1001
Mailing address
1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120U21 | Other | NY | HCFA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178104 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canal Radiology Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Community Radiology | Past | Accepting new patients | |
| Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. | Past | Accepting new patients | |
| DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP | Diagnostic Radiology | Past | Accepting new patients |
| North Shore Health System Medical Faculty Group Practice Inc | Past | Accepting new patients | |
| Mill Basin Radiology PC | Past | Accepting new patients | |
| Clifford Beinart, M.D PC | Past | Accepting new patients | |
| University Radiology at Buffalo, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Surgery Physician
- New York, NY
- NPI 1952857492
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1588775654
-
- Specialist
- Brooklyn, NY
- NPI 1881772747
-
- Specialist
- Brooklyn, NY
- NPI 1861764540
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1255438537
-
- Radiology Clinic/Center
- New York, NY
- NPI 1013946383
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1750744751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413590400000",
"number": "1619082419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131001",
"telephone_number": "315-798-1500",
"fax_number": "315-798-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131001",
"telephone_number": "315-798-1500",
"fax_number": "315-798-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "VIVIAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2014-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "178104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCFA",
"identifier": "120U21",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.