Organization Active NPI

Mnap Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1760796353
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE PHYSICIANS GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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

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.

Verify at the official NPI Registry.