Active NPI
Jonathan Michael Ahmadjian, MD
- Diagnostic Radiology Physician
- Kingston, NY
National Provider Identifier
1891739959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 192100
- Practice address
- 45 Pine Grove Ave
Kingston, NY 12401-5407 - Phone
- (845) 943-5841
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 192100 | NY | Primary |
Addresses
Primary practice location
45 Pine Grove Ave
Kingston, NY 12401-5407
Mailing address
PO Box 2270
Kingston, NY 12402-2270
Phone (845) 943-5841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01445032 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1891739959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2270",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124022270",
"telephone_number": "845-943-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 PINE GROVE AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015407",
"telephone_number": "845-943-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMADJIAN",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "192100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01445032",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.