Active NPI
Ali M Gharagozloo MD PC
Doing business as Diagnostic & Interventional Radiology, PC
- Diagnostic Radiology Physician
- Ogdensburg, NY
National Provider Identifier
1831182633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 198556
- Legal business name
- ALI M GHARAGOZLOO MD PC
- Doing business as
- Diagnostic & Interventional Radiology, PC
- Practice address
- 214 King St
Ogdensburg, NY 13669-1142 - Phone
- (315) 393-3600
- NPI assigned
- Aug 26, 2005
- Last updated
- Oct 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ali M Gharagozloo, M.D.
- Title
- Medical Director of Group
- Phone
- (315) 393-3600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 198556 | NY | Primary |
Addresses
Primary practice location
214 King St
Ogdensburg, NY 13669-1142
Mailing address
27 Dockside Dr # 27
Morristown, NY 13664-3231
Phone (315) 393-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02728641 | Medicaid | NY |
Other names 1
- Diagnostic & Interventional Radiology, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA, NC, MA, FL, PA, OH
Enrollment records 7
National Provider Directory
National Provider DirectoryLocations
3 Lyon Pl
Ste 301
Ogdensburg, NY 13669
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Diagnostic Radiology Physician
- Ogdensburg, NY
- NPI 1437142239
-
- Diagnostic Radiology Physician
- West Newbury, MA
- NPI 1013946094
-
- Body Imaging Physician
- Columbus, OH
- NPI 1457399818
Diagnostic Radiology, NY
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1598723652
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1689672057
-
- Diagnostic Radiology Physician
- Watertown, NY
- NPI 1811997042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1831182633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DOCKSIDE DR # 27",
"city": "MORRISTOWN",
"state": "NY",
"postal_code": "136643231",
"telephone_number": "315-393-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691142",
"telephone_number": "315-393-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI M GHARAGOZLOO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-26",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "GHARAGOZLOO",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR OF GROUP",
"authorized_official_telephone_number": "315-393-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "198556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02728641",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diagnostic & Interventional Radiology, PC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.