Individual provider Active NPI

Ari Isaac Jonisch, MD

  • Diagnostic Radiology Physician
  • Bayside, NY
National Provider Identifier
1841466042
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
247632 Issued in NY
Practice address
32-25 Francis Lewis Blvd
Bayside, NY 11358
Phone
(718) 428-1500
NPI assigned
May 7, 2008
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 247632 NY Primary

Addresses

Primary practice location

32-25 Francis Lewis Blvd
Bayside, NY 11358

Mailing address

32-25 Francis Lewis Blvd
Bayside, NY 11358
Phone (718) 428-1500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090805000036 NY Practitioner - Diagnostic Radiology 6800949124 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247632NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jul 20, 2009 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jul 20, 2009 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Jul 20, 2009 Accepting new patients

Locations

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (844) 734-2201

Interoperability endpoints

  • Direct secure messaging: aij9002@direct.nyp.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1841466042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-25 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-428-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-25 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-428-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONISCH",
        "first_name": "ARI",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "247632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.