Individual provider Active NPI

Jeremy Neuman, MD

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1861633646
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
254249-1 Issued in NY
Practice address
1 Edgewater St
Suite 3 - 6 TH Floor
Staten Island, NY 10305-4900
Phone
(718) 947-7000
Fax
(718) 947-7005
NPI assigned
Mar 9, 2009
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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 254249-1 NY Primary

Addresses

Primary practice location

1 Edgewater St
Suite 3 - 6 TH Floor
Staten Island, NY 10305-4900

Mailing address

1 Edgewater St
Suite 3 - 6 TH Floor
Staten Island, NY 10305-4900
Phone (718) 226-9175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110511000774 NY Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 6305947102 Reassigns benefits to 10 organizations
I20240626000762 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician)Practitioner - Pediatric Medicine 6305947102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

1500 Route 112
BLDG 2
Port Jefferson Station, NY 11776-8055
Phone (631) 751-3000

15459 Riverside Dr
Beechhurst, NY 11357-1339
Phone (212) 965-9888

21 Ivy Close
Forest Hills, NY 11375-6020
Phone (718) 670-1050

280 Riverside Dr
Apt 10B
New York, NY 10025-9027
Phone (201) 447-8000

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

5645 Main St
Flushing, NY 11355-5045
Phone (718) 428-1500

92 Meadow LN
Lawrence, NY 11559-1921
Phone (201) 447-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254249-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital Current Accepting new patients
Physicians of University Hospital PC CurrentSince May 1, 2011 Accepting new patients
The Association of University Physicians Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Physicians of University Hospital, PC CurrentSince May 1, 2011 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2016 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 2, 2017 Accepting new patients
Seattle Children's Hospital CurrentSince Mar 3, 2025 Accepting new patients
Vascular Imaging, PC CurrentSince Dec 1, 2021 Accepting new patients
Seattle Childrens Hospital CurrentSince Mar 3, 2025 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Jun 12, 2024 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Dec 30, 2019 Accepting new patients
North Shore Hematology Oncology Associates PC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Valley Physician Services PC CurrentSince Oct 12, 2025 Accepting new patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Feb 13, 2020 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Feb 13, 2020 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Association of CHMC and University Physicians CurrentSince Jun 12, 2024 Accepting new patients

Locations (25 of 30)

1509 Rockaway Pkwy
Brooklyn, NY 11236
Phone (631) 498-1394

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

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

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

745 64th St
Brooklyn, NY 11220
Phone (718) 765-2570

848 49th St
Brooklyn, NY 11220
Phone (718) 375-6000

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

10837 71st Ave
Ste 2
Forest Hills, NY 11375
Phone (718) 575-8787

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-6824

16215 Highland Ave
Ste 1A
Jamaica, NY 11432
Phone (631) 498-1394

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

300 Community Dr
Manhasset, NY 11030

1500 Route 112
Bldg 2
Port Jefferson Station, NY 11776
Phone (631) 626-4737

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

1 Edgewater St
Ste 3
Staten Island, NY 10305
Phone 7189477000 ext. 7036

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700

972 Brush Hollow Rd
Westbury, NY 11590

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jtn9003@direct.nyp.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1861633646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "address_2": "SUITE 3 - 6 TH FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054900",
            "telephone_number": "718-226-9175",
            "fax_number": "718-947-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "address_2": "SUITE 3 - 6 TH FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054900",
            "telephone_number": "718-947-7000",
            "fax_number": "718-947-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "254249-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.