MASANORI ICHISE MD NPI 1598707598

NPI Information

NPI: 1598707598
Provider Name: MASANORI ICHISE, MD
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

Address:
630 W 168TH ST # MC28
NEW YORK, NY
ZIP 10032
Phone: (212) 305-1948
Get Directions

Masanori Ichise, MD is a nuclear radiology radiology in New York, NY. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. Masanori Ichise, MD NPI is 1598707598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

630 W 168TH ST # MC28
NEW YORK, NY
ZIP 10032-725
Phone: (212) 305-1948
Fax: (212) 305-5777

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	238962	NEW YORK	No
2	2085N0904X	Radiology	Nuclear Radiology	238962-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	75R421	MEDICARE UPIN	NEW YORK
2	I23022	MEDICARE UPIN	NEW YORK
3	W35021	OTHER	NEW YORK	MEDICARE GROUP #
4	2744470	MEDICAID	NEW YORK
5	02186203	OTHER	NEW YORK	MEDICAID GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »