NPIMap

Organization Active NPI

Maine Mobile MRI Associates

  • Diagnostic Radiology Physician
  • Rockport, ME
National Provider Identifier
1902233885
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MAINE MOBILE MRI ASSOCIATES
Practice address
6 Glen Cove Dr
Rockport, ME 04856-4240
Phone
(207) 596-8000
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MAINE MOBILE MRI ASSOCIATES - PENOBSCOTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Peter Giustra, MDNPI 1033113527
Title
Managing Partner
Phone
(207) 784-2554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

6 Glen Cove Dr
Rockport, ME 04856-4240

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

National Provider Directory

National Provider Directory
Part of
Maine Mobile MRI Associates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1902233885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564240",
            "telephone_number": "207-596-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE MOBILE MRI ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINE MOBILE MRI ASSOCIATES - PENOBSCOT",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "GIUSTRA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "207-784-2554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.