Active NPI
Michele Awobuluyi, MD
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 191625
- Practice address
- 153 W 11TH St
New York, NY 10011-8305 - Phone
- (212) 604-2416
- NPI assigned
- Jun 25, 2006
- Last updated
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 191625 | NY | Primary |
Addresses
Primary practice location
153 W 11TH St
New York, NY 10011-8305
Mailing address
350 W 43Rd St
Apt 35B
New York, NY 10036-6454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1906358 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NJ, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Marcus Dr
Melville, NY 11747-4228
Phone (631) 454-0539
1118 Deer Park Ave
North Babylon, NY 11703-3102
Phone (631) 243-3222
1710 Veterans Memorial Hwy
Islandia, NY 11749-1512
Phone (631) 348-0996
2035 Ralph Ave
Suite A5
Brooklyn, NY 11234-5300
Phone (718) 209-1070
2050 Eastchester Rd
Suite 1B
Bronx, NY 10461-2203
Phone (718) 678-1970
2090 Hylan Blvd
Staten Island, NY 10306-3423
Phone (718) 351-0616
21900 Melrose Ave
Suite 1
Southfield, MI 48075-7967
Phone (800) 786-8015
229 Broadway
Lynbrook, NY 11563-3295
Phone (516) 256-1558
2671 86TH St
Brooklyn, NY 11223-3565
Phone (718) 946-7304
301 E 55TH St
New York, NY 10022-4101
Phone (212) 772-2300
305 E 55TH St
Suite 102
New York, NY 10022-4148
Phone (212) 772-2300
306 5TH St
Suite 308
Brooklyn, NY 11215-4593
Phone (718) 768-7700
31 Old Country Rd
Carle Place, NY 11514-1800
Phone (516) 746-2248
600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 478-0004
70 E Sunrise Hwy
Valley Stream, NY 11581-1233
Phone 800786801576145
70 E Sunrise Hwy
Valley Stream, NY 11581-1240
Phone (800) 786-8015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191625 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stand-Up MRI of Manhattan,P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Comprehensive MRI of New York, P.C. | Current | Accepting new patients | |
| Stand-Up MRI of Bensonhurst, PC | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of Brooklyn, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of Lynbrook, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Kan-Di-Ki LLC | Current | Accepting new patients | |
| Stand-Up MRI of Manhattan, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of Carle Place, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Comprehensive MRI of New York, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of Melville, PC | Diagnostic Radiology | Current | Accepting new patients |
| Quality Medical Imaging of California, Inc | Current | Accepting new patients | |
| American Diagnostics Services LLC | Current | Accepting new patients | |
| Kan-Di-Ki, LLC | Current | Accepting new patients | |
| Stand-Up MRI of East Elmhurst, PC | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of East Elmhurst, P.C. | Current | Accepting new patients | |
| Stand-Up MRI of Staten Island, PC | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of the Bronx, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Ultramobile Imaging Inc | Current | Accepting new patients | |
| Stand-Up MRI of Deer Park, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Stand-Up MRI of Queens, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Symphony Diagnostic Services No 1 LLC | Current | Accepting new patients | |
| Damadian MRI in Canarsie, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Comprehensive MRI of New York, P.C. | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Comprehensive MRI of New York, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Saint Vincents Hospital and Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| East Manhattan Diagnostic Imaging, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Beth Israel Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Lucia's Pharmacy Inc. | Past | Accepting new patients |
Locations (25 of 27)
2820 N Ontario St
Burbank, CA 91504
Phone (818) 480-9100
4400 140th Ave N
Ste 200
Clearwater, FL 33762
Phone (727) 443-0389
4400 140th Ave N
Ste 200230
Clearwater, FL 33762
Phone (727) 443-0389
930 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (264) 532-5146
930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101
133 Fleming St
Piscataway, NJ 08854
Phone (732) 264-8878
2035 Ralph Ave
Ste A5
Brooklyn, NY 11234
Phone (718) 209-1070
2294 Nostrand Ave
Ste 1003
Brooklyn, NY 11210
Phone (718) 377-3401
31 Old Country Rd
Carle Place, NY 11514
Phone (516) 746-2248
7533 31st Ave
East Elmhurst, NY 11370
Phone (718) 779-2825
24 Research Way
Ste 400
East Setauket, NY 11733
Phone (631) 444-5361
16720 Union Tpke
Flushing, NY 11366
Phone (718) 969-6222
600 Northern Blvd
Ste 117
Great Neck, NY 11021
Phone (516) 442-3461
1710 Veterans Memorial Hwy
Islandia, NY 11749
Phone (516) 348-0996
229 Broadway
Lynbrook, NY 11563
Phone (516) 256-1558
110 Marcus Dr
Melville, NY 11747
Phone (631) 390-1793
301 E 55th St
New York, NY 10022
Phone (212) 772-2300
305 E 55th St
Apt 102
New York, NY 10022
Phone (212) 751-9714
1118 Deer Park Ave
North Babylon, NY 11703
Phone (631) 243-3222
2090 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-0616
2090 Hylan Blvd
Ste A
Staten Island, NY 10306
70 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-3600
70 E Sunrise Hwy
Ste 500
Valley Stream, NY 11581
Phone (516) 884-9977
1165 Wantagh Ave
Wantagh, NY 11793
Phone (516) 781-1800
311 North St
Ste G-10
White Plains, NY 10605
Phone (914) 946-9400
Organizations & group practices 42
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stand-Up MRI of Islandia
- Diagnostic Radiology Physician
- Islandia, NY
- NPI 1427024199
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1962593061
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1093780058
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1124110440
-
- Diagnostic Radiology Physician
- Carle Place, NY
- NPI 1295826584
-
- Diagnostic Radiology Physician
- North Babylon, NY
- NPI 1821180159
-
- Diagnostic Radiology Physician
- East Elmhurst, NY
- NPI 1558336420
-
- Diagnostic Radiology Physician
- Lynbrook, NY
- NPI 1134211436
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1043302359
-
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1457326506
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1588639553
-
- Diagnostic Radiology Physician
- Bronx, NY
- NPI 1619068954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1841226388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 43RD ST",
"address_2": "APT 35B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W 11TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118305",
"telephone_number": "212-604-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWOBULUYI",
"first_name": "MICHELE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "191625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1906358",
"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 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.