NPIMap

Organization Active NPI

Third Avenue Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Bronx, NY
National Provider Identifier
1619416229
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
161093 Issued in NY
Legal business name
THIRD AVENUE IMAGING LLC
Practice address
2781 3Rd Ave
Bronx, NY 10455-4002
Phone
(718) 742-0700
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mr. Joel Reisman
Title
Owner
Phone
(718) 742-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 161093 NY Primary

Addresses

Primary practice location

2781 3Rd Ave
Bronx, NY 10455-4002

Mailing address

2781 3Rd Ave
Bronx, NY 10455-4002
Phone (718) 742-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608000731 NY Part B Supplier - Clinic/Group Practice 2769750124 Receives reassigned benefits from 20 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

2781 3rd Ave
Bronx, NY 10455
Phone (718) 402-0300

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1619416229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554002",
            "telephone_number": "718-742-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554002",
            "telephone_number": "718-742-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD AVENUE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "REISMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-742-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NY",
            "license": "161093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.