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PRIME CARE PHYSICIANS PLLC NPI 1811262447


NPI Information

NPI: 1811262447
Provider Name: PRIME CARE PHYSICIANS, PLLC

Doing Business As: NORTHEAST ADVANCED IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
600 NORTHERN BLVD
MEDICAL IMAGING DEPARTMENT
ALBANY, NY
ZIP 12204
Phone: (518) 471-3283
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PRIME CARE PHYSICIANS, PLLC is a diagnostic radiology radiology in Albany, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRIME CARE PHYSICIANS, PLLC NPI is 1811262447. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northeast Advanced Imaging.

The provider's business location address is:

600 NORTHERN BLVD
MEDICAL IMAGING DEPARTMENT
ALBANY, NY
ZIP 12204-004
Phone: (518) 471-3283
Fax: (518) 471-3064

The provider's authorized official is Michael J. Whalen .
The authorized official title is Director Of Administration and has the following contact phone number (518) 435-2704.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyNo
22085N0904XRadiologyNuclear RadiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
4363A00000XPhysician AssistantNo
52085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102616571MEDICAIDNEW YORK
2BA0251MEDICARE PINNEW YORK
3WNW001MEDICARE PINNEW YORK
41011152MEDICAIDVERMONT

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: 4/28/2024

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.