NPIMap

Organization Active NPI

Mskcc Radiology Group

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1639159692
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MSKCC RADIOLOGY GROUP
Practice address
1275 York Ave
New York, NY 10021-6007
Phone
(646) 227-3813
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Salvatore M Andreozzi
Title
Associate Director
Phone
(646) 227-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10021-6007

Mailing address

633 3Rd Ave
Box 3
New York, NY 10017-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC, CA, NJ, PR, FL, MA, NV8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20040323000353 NY Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 314 practitioners
Practice locations: New York, NY; West Harrison, NY; Uniondale, NY; Ardsley, NY; New Rochelle, NY; Cortlandt Manor, NY; Commack, NY; Briarcliff Manor, NY
O20230227000745 SC Part B Supplier - Clinic/Group Practice 3971494683 Practice locations: Isle of Palms, SC
O20240306004276 CA Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA
O20240416002265 NJ Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 3 practitioners
Practice locations: Montvale, NJ; Middletown, NJ; Basking Ridge, NJ
O20250825002900 PR Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20250918002966 FL Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL; Weston, FL; Miami, FL
O20260316000669 MA Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 1 practitioner
Practice locations: Dedham, MA
O20260317002858 NV Part B Supplier - Clinic/Group Practice 3971494683 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

328 E 68TH St
New York, NY 10065

160 E 53rd St
New York, NY 10022
Phone (212) 610-0112

633 3rd Ave
#4T
New York, NY 10017

Practitioners & affiliated clinicians

Practitioners 322

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

View all 322

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1639159692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 3RD AVE",
            "address_2": "BOX 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216007",
            "telephone_number": "646-227-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSKCC RADIOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ANDREOZZI",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "646-227-3751"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.