Organization Active NPI

SLR Diagnostic Radiology, PC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1821381633
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41391747 Issued in NY
Legal business name
SLR DIAGNOSTIC RADIOLOGY, PC
Practice address
1090 Amsterdam Ave
New York, NY 10025-1737
Phone
(212) 590-2900
Fax
(212) 523-4857
NPI assigned
May 26, 2011
Organization subpart
Yes
Parent organization
SLR DIAGNOSTIC RADIOLOGY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Jeanne Baer, MD
Title
Director
Phone
(212) 523-4272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 41391747 NY Primary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X 41391747 NY

Addresses

Primary practice location

1090 Amsterdam Ave
New York, NY 10025-1737

Mailing address

1090 Amsterdam Ave
New York, NY 10025-1737
Phone (212) 590-2900

National Provider Directory

National Provider Directory
Tax ID family
SLR Diagnostic Radiology PC5 organizations share this tax ID, including this one
Part of
SLR Diagnostic Radiology PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1821381633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "212-590-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "212-590-2900",
            "fax_number": "212-523-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLR DIAGNOSTIC RADIOLOGY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLR DIAGNOSTIC RADIOLOGY, PC",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-523-4272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "41391747",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "41391747",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 26, 2011; 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.