NPIMap

Organization Active NPI

Alpha Neurology,PC

Doing business as New Dorp MRI & Imaging

  • Neurology Physician
  • Staten Island, NY
National Provider Identifier
1881644250
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
167203 Issued in NY
Legal business name
ALPHA NEUROLOGY,PC
Doing business as
New Dorp MRI & Imaging
Practice address
27 New Dorp LN
Staten Island, NY 10306-2322
Phone
(718) 667-3597
Fax
(718) 667-3590
NPI assigned
May 10, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Allan B Perel, M.D.NPI 1295700177
Title
Director
Phone
(718) 667-3597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 167203 NY Primary
Diagnostic Radiology Physician 2085R0202X 196628 NY

Addresses

Primary practice location

27 New Dorp LN
Staten Island, NY 10306-2322

Mailing address

27 New Dorp LN
Staten Island, NY 10306-2322
Phone (718) 667-3597

Other identifiers 1

IdentifierTypeStateIssuer
02712774MedicaidNY

Other names 1

  • New Dorp MRI & Imaging Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000077 NY Part B Supplier - Clinic/Group Practice 5799740577 Receives reassigned benefits from 8 practitioners
Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2011102Alpha Neurology Medical Center27 New Dorp Lane, Staten Island, NY 10306Certificate of waiverAug 10, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1881644250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062322",
            "telephone_number": "718-667-3597",
            "fax_number": "718-667-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062322",
            "telephone_number": "718-667-3597",
            "fax_number": "718-667-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA NEUROLOGY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "PEREL",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-667-3597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "167203",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "196628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02712774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Dorp MRI & Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.