Organization Active NPI

Park Avenue Medical Imaging PC

  • Specialist
  • New York, NY
National Provider Identifier
1982998761
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
161694 Issued in NY
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

Updated by the provider on Nov 3, 2015

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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

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.

Verify at the official NPI Registry.