Northeast Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTHEAST RADIOLOGY PC

Practice address

60 Old New Milford Rd Ste 2a
Brookfield, CT 06804-2434

Phone

(203) 780-7012

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Toni Cooper

Title

Director of Credentialing

Phone

(754) 206-6198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NJ, FL, AL, IL, TN, MA7 enrollments

Enrollment records 7

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1023498805

  O20230405000597, O20250715000640, O20250725000270, O20250801002371, O20250807002435, O20251028002185, O20260520002504

  Same enrollment
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1356813505

  O20230405000597, O20250715000640, O20250725000270, O20250801002371, O20250807002435, O20251028002185, O20260520002504

  Same enrollment
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Brewster, NY
  • NPI 1134118607

  O20250715000640, O20250725000270, O20250807002435

  Same enrollment
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Mount Kisco, NY
  • NPI 1255320727

  O20250715000640, O20250725000270, O20250801002371, O20250807002435

  Same enrollment

Tax ID family

Northeast Radiology of Connecticut LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1023498805
  NPD tax ID
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1356813505
  NPD tax ID
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Mount Kisco, NY
  • NPI 1255320727
  NPD tax ID

Locations

Practitioners 2

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

• Nila Alsheik, M.D.

  • Diagnostic Radiology Physician
  • Park Ridge, IL
  • NPI 1972548964
  NPD
• Lawrence Gold, MD

  • Diagnostic Radiology Physician
  • Purchase, NY
  • NPI 1508841685
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1972259547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 VON KARMAN AVE STE 600",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121176",
            "telephone_number": "949-242-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD NEW MILFORD RD STE 2A",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042434",
            "telephone_number": "203-780-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "754-206-6198"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valdet Nikci
• Thomas Nipper, M.D.
• Courtney Nissel, PT, DPT
• Kinya Latavia Nkwo
• Northeast Radiology of CT LLC
• Kelly Norvig
• Lisa O'Connor
• Carla Oliveira
• Paige Renee Olivieri
• Alma Orellana- Mendez, LPC

• Diagnostic Radiology Physician in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.