Individual provider Active NPI

Omar John Arnuk, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1699745315
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07881600 Issued in NJ
Practice address
506 6TH St
Dept of Radiology 2ND Floor
Brooklyn, NY 11215-3609
Phone
(718) 780-5870
Fax
(718) 780-7720
NPI assigned
Jan 25, 2006
Last updated
Mar 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 211-469 NY
Diagnostic Radiology Physician 2085R0202X 25MA07881600 NJ Primary

Addresses

Primary practice location

506 6TH St
Dept of Radiology 2ND Floor
Brooklyn, NY 11215-3609

Mailing address

506 6TH Street
New York Methodist Hospital
Brooklyn, NY 11215-3609
Phone (718) 780-5870

Other identifiers 1

IdentifierTypeStateIssuer
02086139MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000546 NY Practitioner - Diagnostic Radiology 4284652165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211-469NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. CurrentSince Apr 20, 2021 Accepting new patients
Jamaica Hospital CurrentSince May 10, 2016 Accepting new patients
Jamaica Hospital CurrentSince May 10, 2016 Accepting new patients
University Physicians Group P C Past Accepting new patients
Island Medical Specialists, P.L.L.C. PastSince Dec 13, 2022 Accepting new patients
Staten Island University Hospital Past Accepting new patients
Stephen P Coppa DO PC Past Accepting new patients
Kidney and Hypertension Medicine, P.C. PastSince Nov 11, 2009 Accepting new patients
Alpha Neurology,PC Diagnostic Radiology Past Accepting new patients
Goethals Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

17660 Union Tpke
Ste 100
Fresh Meadows, NY 11366
Phone (718) 408-6977

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1699745315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 6TH STREET",
            "address_2": "NEW YORK METHODIST HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-5870",
            "fax_number": "718-780-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "address_2": "DEPT OF RADIOLOGY 2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-5870",
            "fax_number": "718-780-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNUK",
        "first_name": "OMAR",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "211-469",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07881600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02086139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.