Jonathan D Mishkin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

169064 Issued in NY

Practice address

315 S Manning Blvd
Medical Imaging Department
Albany, NY 12208-1707

Phone

(518) 525-1852

Fax

(518) 525-1559

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Albany Advanced Imaging PLLC

  • Diagnostic Radiology Physician
  • Albany, NY
  • NPI 1871578898

  Diagnostic Radiology, NY

  Medicare reassignment NPD
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993

  NY

  Medicare reassignment NPD
• Northeast Medical Imaging PC

  • Diagnostic Radiology Physician
  • Albany, NY
  • NPI 1396720140

  Diagnostic Radiology, NY

  Medicare reassignment NPD
• St. Peter'S Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Diagnostic Radiology, NY

  Medicare reassignment NPD
• Albany Advanced Imaging PLLC

  • Diagnostic Radiology Physician
  • Albany, NY
  • NPI 1730334749

  Diagnostic Radiology

  NPD
• Albany Advanced Imaging PLLC

  • Diagnostic Radiology Physician
  • Clifton Park, NY
  • NPI 1316922248

  Diagnostic Radiology

  NPD (past)
• Capital Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Albany, NY
  • NPI 1184609109

  Diagnostic Radiology

  NPD (past)
• Paul E Lemanski MD PLLC

  • Internal Medicine Physician
  • Albany, NY
  • NPI 1447720271
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2021.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1841282019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "address_2": "MEDICAL IMAGING DEPARTMENT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1852",
            "fax_number": "518-525-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 S Manning Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081744",
            "country_code": "US",
            "telephone_number": "518-438-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHKIN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "169064",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "169064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00996790",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "address_2": "Medical Imaging Department",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sapna Kishore Mirapuri
• Diego E Miron, DDS
• Susan Ann Miron, M.S.ED.
• Riaz Ahmad Mirza, M.D.
• Cody J Misener, PA
• Rina Mishra-Pani, M.D.
• Brittany Hope Misiaszek
• Brittany Miske, NP
• Amanda Mitchell, MD
• Colby Mitchell, PHARMD

• All providers in Albany, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.