Active NPI
Southtowns Catholic MRI LLC
- Diagnostic Radiology Physician
- Orchard Park, NY
National Provider Identifier
1699818716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SOUTHTOWNS CATHOLIC MRI LLC
- Practice address
- 3669 Southwestern Blvd
Orchard Park, NY 14127-1732 - Phone
- (716) 662-8543
- Fax
- (716) 662-8590
- NPI assigned
- Feb 15, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald J Joyce, MD
- Title
- Medical Director
- Phone
- (716) 662-8543
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NY | Primary |
Addresses
Primary practice location
3669 Southwestern Blvd
Orchard Park, NY 14127-1732
Mailing address
3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone (716) 649-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02002899 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1336113596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699818716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 AMSDELL RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755835",
"telephone_number": "716-649-9000",
"fax_number": "716-649-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3669 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271732",
"telephone_number": "716-662-8543",
"fax_number": "716-662-8590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHTOWNS CATHOLIC MRI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOYCE",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "716-662-8543",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02002899",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
- Patrick William Snyder, LICENSED OPTICIAN
- Stephanie L Soehnlein, M.D.
- Kristi Marie Sokol
- South Towns Surgical Associates P.C.
- Southtowns Ambulatory Anesthesia PLLC
- Southtowns Children's SLP, PT & OT Associates
- Southtowns Chiropractic Associates P.C.
- Southtowns Ear, Nose & Throat, LLP
- Southtowns Gastroenterology, PLLC
- Southtowns Internal Medicine PC
Sources for this page
- 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.