Active NPI
Ir Physician Services, PA
- Vascular & Interventional Radiology Physician
- Alexandria, LA
National Provider Identifier
1942114012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- IR PHYSICIAN SERVICES, PA
- Practice address
- 3330 Masonic Dr
Alexandria, LA 71301-3841 - Phone
- (718) 787-5559
- Fax
- (718) 603-9469
- NPI assigned
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergei Sobolevsky, MD
- Title
- Owner
- Phone
- (646) 267-3432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | Primary |
Addresses
Primary practice location
3330 Masonic Dr
Alexandria, LA 71301-3841
Mailing address
117 W Central Blvd Unit 16
Palisades Park, NJ 07650-5002
Phone (718) 787-5559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1942114012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W CENTRAL BLVD UNIT 16",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076505002",
"telephone_number": "718-787-5559",
"fax_number": "718-603-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "718-787-5559",
"fax_number": "718-603-9469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IR PHYSICIAN SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "SOBOLEVSKY",
"authorized_official_first_name": "SERGEI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-267-3432",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.