Organization Active NPI

New York Medical Imaging Associates MD PC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1962427559
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEW YORK MEDICAL IMAGING ASSOCIATES MD PC
Practice address
165 E 84TH St
New York, NY 10028-2049
Phone
(212) 535-9770
Fax
(212) 427-5273
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Mr. Kevin Brosnan
Title
Director of Operations
Phone
(212) 518-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

165 E 84TH St
New York, NY 10028-2049

Mailing address

165 E 84TH St
New York, NY 10028-2049
Phone (212) 535-9770

Other names 1

  • NYMI Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000288 NY Part B Supplier - Clinic/Group Practice 2961393004 Receives reassigned benefits from 7 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1095245Nymi Associates165 East 84TH Street, 6TH Floor, New York, NY 10028Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

165 E 84th St
#95
New York, NY 10028

1 E 82nd St
New York, NY 10028
Phone (212) 535-9770

165 E 84th St
New York, NY 10028
Phone (212) 518-2901

165 E 84th St
Fl 4
New York, NY 10028
Phone (212) 518-2901

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1962427559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282049",
            "telephone_number": "212-535-9770",
            "fax_number": "212-427-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282049",
            "telephone_number": "212-535-9770",
            "fax_number": "212-427-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MEDICAL IMAGING ASSOCIATES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "BROSNAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "212-518-2901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYMI Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.