Organization Active NPI

SLR Diagnostic Radiology, P.C.

Doing business as New York Healthcare

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1851568786
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SLR DIAGNOSTIC RADIOLOGY, P.C.
Doing business as
New York Healthcare
Practice address
55 E 34TH St
Dept of Radiology
New York, NY 10016-4337
Phone
(212) 252-6004
Fax
(212) 252-6021
NPI assigned
May 9, 2008
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SLR DIAGNOSTIC RADIOLOGY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Jeanne Baer, MD
Title
Medical Director
Phone
(201) 830-3122

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NY
Neuroradiology Physician 2085N0700X NY
Nuclear Radiology Physician 2085N0904X NY
Diagnostic Radiology Physician 2085R0202X NY Primary
Vascular & Interventional Radiology Physician 2085R0204X NY
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X NY

Addresses

Primary practice location

55 E 34TH St
Dept of Radiology
New York, NY 10016-4337

Mailing address

10 Exchange PL
14TH Floor WSBS
Jersey City, NJ 07302-3918
Phone (201) 830-3122

Other identifiers 1

IdentifierTypeStateIssuer
01002042MedicaidNY

Other names 1

  • New York Healthcare Doing business as

National Provider Directory

National Provider Directory
Part of
SLR Diagnostic Radiolog

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1851568786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EXCHANGE PL",
            "address_2": "14TH FLOOR WSBS",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023918",
            "telephone_number": "201-830-3122",
            "fax_number": "201-200-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 34TH ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164337",
            "telephone_number": "212-252-6004",
            "fax_number": "212-252-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLR DIAGNOSTIC RADIOLOGY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLR DIAGNOSTIC RADIOLOGY, P.C.",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-830-3122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01002042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2008; 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.