NPIMap

Organization Active NPI

Stand-Up MRI of Queens, P.C.

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1902998156
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
STAND-UP MRI OF QUEENS, P.C.
Practice address
16720 Union Tpke
Flushing, NY 11366-1310
Phone
(718) 969-6222
Fax
(718) 969-6333
NPI assigned
Sep 28, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Stephen Marc Hershowitz, M.D.NPI 1619970084
Title
Owner
Phone
(631) 396-1050

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

16720 Union Tpke
Flushing, NY 11366-1310

Mailing address

PO Box 170
Farmingdale, NY 11735-0170
Phone (631) 396-1050

Other identifiers 1

IdentifierTypeStateIssuer
02864886MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001322 NY Part B Supplier - Clinic/Group Practice 7719876622 Receives reassigned benefits from 11 practitioners
Practice locations: Flushing, NY; Melville, NY; Merrick, NY

National Provider Directory

National Provider Directory

Locations

16720 Union Tpke
Flushing, NY 11366
Phone (718) 969-6222

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1902998156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117350170",
            "telephone_number": "631-396-1050",
            "fax_number": "631-396-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16720 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661310",
            "telephone_number": "718-969-6222",
            "fax_number": "718-969-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND-UP MRI OF QUEENS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "HERSHOWITZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-396-1050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02864886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.