Active NPI
West Side Radiology Associates, PC
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1992061006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WEST SIDE RADIOLOGY ASSOCIATES, PC
- Practice address
- 245 5TH Ave
New York, NY 10016-8728 - Phone
- (646) 935-2841
- Fax
- (646) 935-2891
- NPI assigned
- Apr 3, 2012
- 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
- Mr. Munir Ghesani, M.D
- Title
- Medical Director
- Phone
- (212) 523-7049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
245 5TH Ave
New York, NY 10016-8728
Mailing address
10 Exchange PL
14TH Floor
Jersey City, NJ 07302-3918
Phone (201) 830-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03461947 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1992061006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EXCHANGE PL",
"address_2": "14TH FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023918",
"telephone_number": "201-830-3200",
"fax_number": "201-200-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728",
"telephone_number": "646-935-2841",
"fax_number": "646-935-2891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SIDE RADIOLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-03",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "GHESANI",
"authorized_official_first_name": "MUNIR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "212-523-7049",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03461947",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- West Side Radiology Associates, P.C.
- West Side Radiology Associates, P.C.
- West Side Radiology Associates, PC
- West Side Radiology Associates, PC
- West Side Radiology Associates, PC
- West Village Addiction Psychiatry
- West Village Eyecare Associates
- West Village Podiatric Surgical PC
- Tammy West-Bennet, LMSW
- Alan L West, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.