Individual provider Active NPI

Todd Jeffrey Minken, MD

  • Diagnostic Radiology Physician
  • Yonkers, NY
National Provider Identifier
1881678100
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
192303-1 Issued in NY
Practice address
967 N Broadway
Yonkers, NY 10701-1301
Phone
(914) 964-4330
Fax
(914) 964-4767
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 192303-1 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 192303-1 NY

Addresses

Primary practice location

967 N Broadway
Yonkers, NY 10701-1301

Mailing address

34 N Moore St
New York, NY 10013-2437
Phone (914) 964-4321

Other identifiers 1

IdentifierTypeStateIssuer
01472444MedicaidNY

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
I20080812000863 NY Practitioner - Diagnostic Radiology 5092880955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192303-1NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Oct 15, 2022 Accepting new patients
Weill Medical College of Cornell Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2013 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Oct 15, 2022 Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
St. John's Radiological Associates, LLP PastSince Apr 1, 1999 Accepting new patients
Westchester Pet & Medical Imaging, PC Diagnostic Radiology PastSince Jan 4, 2010 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

2016 Bronxdale Ave
Bronx, NY 10462
Phone (718) 822-1515

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

275 7th Ave
New York, NY 10001
Phone (212) 604-1701

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

Organizations & group practices 7

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1881678100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N MOORE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132437",
            "telephone_number": "914-964-4321",
            "fax_number": "914-964-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4330",
            "fax_number": "914-964-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKEN",
        "first_name": "TODD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "192303-1",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "192303-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01472444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.