NPIMap

Organization Active NPI

Community Radiology

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1861764540
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
152868-1 Issued in NY
Legal business name
COMMUNITY RADIOLOGY
Practice address
849 57TH St
Suite B
Brooklyn, NY 11220-3617
Phone
(732) 598-3310
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Mr. Charles M. Piccinnini
Title
Administrative Director
Phone
(732) 598-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 152868-1 NY Primary

Addresses

Primary practice location

849 57TH St
Suite B
Brooklyn, NY 11220-3617

Mailing address

849 57TH St
Suite B
Brooklyn, NY 11220-3617
Phone (732) 598-3310

Other identifiers 1

IdentifierTypeStateIssuer
02714469MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000733 NY Part B Supplier - Clinic/Group Practice 0143111047 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY; New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

849 57th St
Ste B
Brooklyn, NY 11220
Phone (732) 598-3310

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1861764540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 57TH ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203617",
            "telephone_number": "732-598-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 57TH ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203617",
            "telephone_number": "732-598-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "PICCINNINI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "732-598-3310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "152868-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02714469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.