Active NPI
Mnap Diagnostic Imaging LLC
- Diagnostic Radiology Physician
- Philadelphia, PA
National Provider Identifier
1760796353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MNAP DIAGNOSTIC IMAGING LLC
- Practice address
- 9908 Roosevelt Blvd
Philadelphia, PA 19115 - Phone
- (215) 673-9260
- Fax
- (215) 673-9254
- NPI assigned
- Aug 6, 2010
- Last updated
- Jul 29, 2015
- Organization subpart
- Yes
- Parent organization
- PINNACLE PHYSICIANS GROUP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raul Biniaurishvili, MD
- Title
- Medical Director
- Phone
- (215) 464-3300
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Neurology Physician | 2084N0400X | |||
| Radiation Oncology Physician | 2085R0001X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Podiatrist | 213E00000X | SC005791 | PA |
Addresses
Primary practice location
9908 Roosevelt Blvd
Philadelphia, PA 19115
Mailing address
9910 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 673-9260
National Provider Directory
National Provider Directory- Part of
- Pinnacle Physicians GRP LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
9926 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 673-9260
Practitioners & 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.
-
- Radiation Oncology Physician
- Saddle Brook, NJ
- NPI 1609008333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1760796353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19115",
"telephone_number": "215-673-9260",
"fax_number": "215-673-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9908 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19115",
"telephone_number": "215-673-9260",
"fax_number": "215-673-9254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MNAP DIAGNOSTIC IMAGING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PINNACLE PHYSICIANS GROUP LLC",
"enumeration_date": "2010-08-06",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "BINIAURISHVILI",
"authorized_official_first_name": "RAUL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "215-464-3300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Alan Joseph Mlodzienski, DPM
- Ergisa Mlova, DPT
- Mmfallouh MD LLC
- MMR Group (26th & lehigh pharmacy)
- MMT Logistics Inc
- Mnap Diagnostic Imaging, LLC
- Mnap Medical Solutions (MNAP Diagnostic Center)
- Mnap Medical Solutions, Inc (MNAP Oncology Center)
- Mnap Medical Solutions, Inc. (MNAP Diagnostic Center and MNAP Oncology Center)
- Mnap Multipsecialty Group (MNAP Diagnostic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.