BRONX PARK RADIOLOGY ASST PC NPI 1053332163

NPI Information

NPI: 1053332163
Provider Name: BRONX PARK RADIOLOGY ASST PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2016 BRONXDALE AVE
SUITE 102
BRONX, NY
ZIP 10462
Phone: (718) 960-9033
Get Directions

BRONX PARK RADIOLOGY ASST PC is a diagnostic radiology radiology in Bronx, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BRONX PARK RADIOLOGY ASST PC NPI is 1053332163. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2016 BRONXDALE AVE
SUITE 102
BRONX, NY
ZIP 10462-388
Phone: (718) 960-9033
Fax: (718) 823-5131

The provider's authorized official is Marie F Gade .
The authorized official title is President and has the following contact phone number (718) 960-6486.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.

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			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	00668740	MEDICAID	NEW YORK

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

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