Active NPI
Russell Stuart Golkow, MD
- Specialist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03614200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02168638 | Medicaid | NY | |
| 10657403 | Other | NY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03614200 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenox Hill Radiology & Medical Imaging Associates, PC | Current | Accepting new patients | |
| Hudson Valley Radiology Associates PLLC | Current | 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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
CA
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
CA
-
- Body Imaging Physician
- Philadelphia, PA
- NPI 1245294156
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.