Individual provider Active NPI

Russell Stuart Golkow, MD

  • Specialist
  • Jersey City, NJ
National Provider Identifier
1972540862
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03614200 Issued in NJ
Practice address
142 Palisade Ave
Radiology Professional Association
Jersey City, NJ 07306
Phone
(201) 795-8411
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 220790 NY
Specialist 174400000X 25MA03614200 NJ Primary

Addresses

Primary practice location

142 Palisade Ave
Radiology Professional Association
Jersey City, NJ 07306

Mailing address

142 Palisade Ave
Radiology Professional Association
Jersey City, NJ 07306
Phone (201) 795-8411

Other identifiers 2

IdentifierTypeStateIssuer
02168638MedicaidNY
10657403OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040622001466 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3870578958 Reassigns benefits to 2 organizations
I20190523000251 CA Practitioner - Diagnostic Radiology 3870578958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

507 Narcissus Ave
Corona del Mar, CA 92625-2416
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03614200NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Radiology & Medical Imaging Associates, PC CurrentSince May 1, 2016 Accepting new patients
Hudson Valley Radiology Associates PLLC CurrentSince Jun 24, 2019 Accepting new patients
Rittenhouse Imaging Center, LLC Past Accepting new patients
Bsi Acquisition, LP Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

410 E 189th St
Bronx, NY 10458
Phone (718) 220-2500

2475 Ralph Ave
Brooklyn, NY 11234
Phone (718) 444-3777

6740 3rd Ave
Brooklyn, NY 11220
Phone (718) 491-5822

2215 79th St
Brooklyn, NY 11214
Phone (718) 222-3000

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

3717 76th St
Jackson Hts, NY 11372
Phone (718) 424-1400

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1972540862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "RADIOLOGY PROFESSIONAL ASSOCIATION",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-795-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "RADIOLOGY PROFESSIONAL ASSOCIATION",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-795-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLKOW",
        "first_name": "RUSSELL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "220790",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03614200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02168638",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10657403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.