Active NPI
Kim Podolnick, M.D.
- Diagnostic Radiology Physician
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 136279
- Practice address
- 990 Stewart Ave
Garden City, NY 11530-4822 - Phone
- (516) 222-2022
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 136279 | NY | Primary |
Addresses
Primary practice location
990 Stewart Ave
Garden City, NY 11530-4822
Mailing address
990 Stewart Ave
Garden City, NY 11530-4822
Phone (516) 222-2022
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136279 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zwanger & Pesiri Radiology Group, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Hillcrest Radiology Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240
1018 Suffolk Ave
Brentwood, NY 11717
763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118
347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403
2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401
285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300
220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400
99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480
326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001
23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693
625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076
150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757
150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355
150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757
126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614
1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800
680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400
4 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 428-1600
5650 Sunrise Hwy
Sayville, NY 11782
803 Montauk Hwy
Unit F
Shirley, NY 11967
987 W Jericho Tpke
Smithtown, NY 11787
Phone (516) 864-9100
80 Maple Ave
Smithtown, NY 11787
Phone (516) 265-5777
2500 Route 347
Stony Brook, NY 11790
Phone (631) 689-7700
6144 Route 25A
Ste 1
Wading River, NY 11792
759 Montauk Hwy
West Islip, NY 11795
Phone (516) 669-7103
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
-
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1164479259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1710974514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304822",
"telephone_number": "516-222-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 STEWART AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304822",
"telephone_number": "516-222-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLNICK",
"first_name": "KIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "136279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.