Organization Active NPI

Marvel Imaging Inc.

  • Diagnostic Ultrasound Physician
  • New York, NY
National Provider Identifier
1649697160
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
155850 Issued in NY
Legal business name
MARVEL IMAGING INC.
Practice address
99 Madison Ave
New York, NY 10016-7419
Phone
(718) 938-7367
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Cherna Z Berg
Title
Director
Phone
(718) 938-7367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X 155850 NY Primary

Addresses

Primary practice location

99 Madison Ave
New York, NY 10016-7419

Mailing address

576 Queen Anne Rd
Teaneck, NJ 07666-3328
Phone (718) 938-1157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723000299 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2769885110 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1164 49th St
Brooklyn, NY 11219

99 Madison Ave
Fl 419
New York, NY 10016
Phone (347) 343-4314

99 Madison Ave
New York, NY 10016
Phone (212) 938-1444

99 Madison Ave
Ste 419
New York, NY 10016

Practitioners & affiliated clinicians

Practitioners 2

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": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1649697160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663328",
            "telephone_number": "718-938-1157",
            "fax_number": "718-633-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167419",
            "telephone_number": "718-938-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEL IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "CHERNA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-938-7367"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "155850",
            "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 May 17, 2021; 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.