Rockland Nuclear Spect Imaging, PC

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

Legal business name

ROCKLAND NUCLEAR SPECT IMAGING, PC

Doing business as

Newburgh Cardiovascular Imaging

Practice address

310 Fullerton Ave
Newburgh, NY 12550-3724

Phone

(845) 565-9086

Fax

(845) 565-9872

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Jacqueline Mayer

Title

VP Managed Care & Credentialing

Phone

(631) 952-5717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Newburgh Cardiovascular Imaging Doing business as

Tax ID family

Newburgh Cardiovascular Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rockland Nuclear Spect Imaging, PC

  dba Poughkeepsie Cardiac Imaging

  • Nuclear Cardiology Physician
  • Poughkeepsie, NY
  • NPI 1639240179
  NPD tax ID

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689745226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13125",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880560",
            "telephone_number": "845-565-9086",
            "fax_number": "845-565-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503724",
            "telephone_number": "845-565-9086",
            "fax_number": "845-565-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND NUCLEAR SPECT IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP MANAGED CARE & CREDENTIALING",
        "authorized_official_telephone_number": "631-952-5717"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02082942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newburgh Cardiovascular Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Roach
• Rebecca Ann Robbins, MS,CCC-SLP
• Damali Ayana Robinson, CRNA, DNP
• Shawana Robinson
• Todd Alvin Rochman, M.D.
• Elisa Rodriguez Maya, CASAC 2 / BSW
• Alyssa J Rodriguez
• Isaac Reuben Rodriguez, MSW
• Kathryn Rodriguez, DPT
• Madeline Rodriguez

• Nuclear Cardiology Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Nuclear Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.