Bradley Arden Radwaner, M.D., P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

150577 Issued in NY

Legal business name

BRADLEY ARDEN RADWANER, M.D., P.C.

Practice address

136 E 57TH St
New York, NY 10022-2707

Phone

(212) 717-0666

Fax

(212) 717-2399

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Bradley Arden Radwaner, M.D.NPI 1992893127

Title

Owner

Phone

(212) 717-0666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Bradley Arden Radwaner, M.D

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1992893127
  Medicare reassignment Authorized official
• Daniel Yadegar, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1538363213
  NPD (past)

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1891954962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280250",
            "telephone_number": "212-717-0666",
            "fax_number": "212-717-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222707",
            "telephone_number": "212-717-0666",
            "fax_number": "212-717-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY ARDEN RADWANER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "RADWANER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ARDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-717-0666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "150577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bradford, LMSW
• Rojel Montane Bradford, MD
• Bradley a. Connor, MD, PLLC
• Bradley and Monson Physical Therapy LLP
• Bradley and Monson PT
• Bradley Wasserman, M.D., PLLC
• Arlene Bradley-Lester, MSED.
• Alexandra Elizabeth Bradley
• Allison Bradley, MFT
• Amber N Bradley

• Health Service Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.