Radiology Services of New York, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY SERVICES OF NEW YORK, PC

Practice address

1946 Victory Blvd
Staten Island, NY 10314-3520

Phone

(718) 420-2220

Fax

(718) 420-3602

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Ann Canino

Title

Administrator

Phone

(718) 420-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Radiology Services of New York PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1184691537

  O20040319000221

  Same enrollment
• Radiology Services of New York, PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1144393224

  O20040319000221

  Same enrollment

Practitioners 7

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.

• Salvatore Desena, MD

  • Body Imaging Physician
  • Staten Island, NY
  • NPI 1033190384
  NPD (past)
• Michael Kraut, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1770524423
  NPD (past)
• Doris Lin, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1245274208
  NPD (past)
• Martin Gilbert Pomper, M.D., PH.D

  • Nuclear Medicine Physician
  • Dallas, TX
  • NPI 1598706780

  Diagnostic Radiology

  NPD (past)
• Bruce Wasserman, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1023054608
  NPD (past)
• David Yousem, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1013941616
  NPD (past)
• Simion James Zinreich, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1548316003
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740353838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080570727",
            "telephone_number": "856-234-5304",
            "fax_number": "856-234-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143520",
            "telephone_number": "718-420-2220",
            "fax_number": "718-420-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY SERVICES OF NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANINO",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-420-2220"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02691647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qais Radaideh, M.D.
• Ana Radeboldti
• Mark J Raden, M.D.
• Shruthi Radhakrishnan, DO
• Radiology Services of New York PC
• Aldin Radoncic, PA
• Miriam Radov, O.D.
• Raduga, Inc.
• Elina Radushinsky, L.AC
• Agnes Radzio, MD

• Diagnostic Radiology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Diagnostic Radiology 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.
• 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.