Organization Active NPI

Midtown Sinus Imaging, PLLC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1801070412
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
195509 Issued in NY
Legal business name
MIDTOWN SINUS IMAGING, PLLC
Practice address
116 East 36TH Street
New York, NY 10016
Phone
(212) 686-6321
Fax
(212) 214-0831
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Morris Nejat, M.D.NPI 1417938119
Title
Owner/Organizer
Phone
(212) 686-6321

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 195509 NY Primary

Addresses

Primary practice location

116 East 36TH Street
New York, NY 10016

Mailing address

120 E 36TH St
Ground Level
New York, NY 10016-3465
Phone (212) 686-6321

Other identifiers 1

IdentifierTypeStateIssuer
01648505MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122000199 NY Part B Supplier - Clinic/Group Practice 3870729890 Receives reassigned benefits from 9 practitioners
Practice locations: New York, NY; Glendale, NY

National Provider Directory

National Provider Directory

Locations

7949 Myrtle Ave
Glendale, NY 11385
Phone 21268663218309

225 E 57th St
New York, NY 10022
Phone (212) 480-4062

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1801070412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 36TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163465",
            "telephone_number": "212-686-6321",
            "fax_number": "212-214-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EAST 36TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-686-6321",
            "fax_number": "212-214-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN SINUS IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "NEJAT",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER/ORGANIZER",
        "authorized_official_telephone_number": "212-686-6321",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "195509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01648505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.