Organization Active NPI

Oxford Medical Imaging P.C.

  • Diagnostic Radiology Physician
  • New Hartford, NY
National Provider Identifier
1992911366
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OXFORD MEDICAL IMAGING P.C.
Practice address
1 Oxford Rd
New Hartford, NY 13413-2651
Phone
(315) 738-1795
Fax
(315) 738-1798
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
John M McKennan, MDNPI 1588625297
Title
MD / Owner
Phone
(315) 738-1795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1 Oxford Rd
New Hartford, NY 13413-2651

Mailing address

1 Oxford Rd
New Hartford, NY 13413-2651
Phone (315) 738-1795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000195 NY Part B Supplier - Clinic/Group Practice 8921907734 Receives reassigned benefits from 1 practitioner
Practice locations: New Hartford, NY

National Provider Directory

National Provider Directory

Locations

284 W Main St
Ilion, NY 13357
Phone (315) 895-7441

1 Oxford Rd
Ste 301
New Hartford, NY 13413
Phone (315) 624-9081

Practitioners & affiliated clinicians

Practitioners 2

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1992911366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132651",
            "telephone_number": "315-738-1795",
            "fax_number": "315-738-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132651",
            "telephone_number": "315-738-1795",
            "fax_number": "315-738-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD MEDICAL IMAGING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "MCKENNAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "315-738-1795",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.