Organization Active NPI

New Image Interventional Radiology, PLLC

  • Plastic Surgery Physician
  • Wappingers Falls, NY
National Provider Identifier
1801197603
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NEW IMAGE INTERVENTIONAL RADIOLOGY, PLLC
Practice address
169 Myers Corners Rd
Suite 250
Wappingers Falls, NY 12590-3867
Phone
(845) 454-4700
Fax
(845) 790-5719
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Philip Amatulle, M.D.NPI 1144227331
Title
Vice President
Phone
(845) 454-8700

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
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

169 Myers Corners Rd
Suite 250
Wappingers Falls, NY 12590-3867

Mailing address

1351 Route 55
First Floor
Lagrangeville, NY 12540-5108
Phone (845) 454-8700

National Provider Directory

National Provider Directory

Locations

1351 Route 55
Unit 1
Lagrangeville, NY 12540

169 Myers Corners Rd
Ste 250
Wappingers Fl, NY 12590

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": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1801197603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55",
            "address_2": "FIRST FLOOR",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405108",
            "telephone_number": "845-454-8700",
            "fax_number": "845-790-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MYERS CORNERS RD",
            "address_2": "SUITE 250",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903867",
            "telephone_number": "845-454-4700",
            "fax_number": "845-790-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE INTERVENTIONAL RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "AMATULLE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-454-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.