Active NPI
Park Avenue Medical Imaging PC
- Specialist
- New York, NY
National Provider Identifier
1982998761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 161694
- Legal business name
- PARK AVENUE MEDICAL IMAGING PC
- Practice address
- 330 E 38TH St
Suite 44I
New York, NY 10016-2759 - Phone
- (212) 661-0514
- NPI assigned
- Jun 8, 2011
- 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
- Mrs. Nana Kazhiloti
- Title
- Credentialing Specialist
- Phone
- (718) 934-6714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 161694 | NY | Primary |
Addresses
Primary practice location
330 E 38TH St
Suite 44I
New York, NY 10016-2759
Mailing address
330 E 38TH St
Suite 44I
New York, NY 10016-2759
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1255361283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446508800000",
"number": "1982998761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 38TH ST",
"address_2": "SUITE 44I",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E 38TH ST",
"address_2": "SUITE 44I",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162759",
"telephone_number": "212-661-0514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK AVENUE MEDICAL IMAGING PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-08",
"last_updated": "2015-11-03",
"status": "A",
"authorized_official_last_name": "KAZHILOTI",
"authorized_official_first_name": "NANA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "718-934-6714",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "161694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Park Avenue Medical & Surgical Associates
- Park Avenue Medical Care PC
- Park Avenue Medical Equipment LLC
- Park Avenue Medical Group, P.C.
- Park Avenue Medical Imaging and Mommography
- Park Avenue Medical Office, PLLC
- Park Avenue Medical PLLC
- Park Avenue Medical Professionals
- Park Avenue Medical Suite
- Park Avenue Medical Weight and Wellness P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.