Provider Type Icon

RADIOLOGY SERVICES OF NEW YORK PC NPI 1184691537


NPI Information

NPI: 1184691537
Provider Name: RADIOLOGY SERVICES OF NEW YORK PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 33D2124286

Address:
2777 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 979-0100
Get Directions

RADIOLOGY SERVICES OF NEW YORK PC is a diagnostic radiology radiology in Staten Island, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY SERVICES OF NEW YORK PC NPI is 1184691537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2777 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306-660
Phone: (718) 979-0100
Fax: (718) 979-3602

The provider's authorized official is Sasan Yasharpour .
The authorized official title is Medical Director and has the following contact phone number (718) 979-0100.

The CLIA number assigned to this NPI record is 33D2124286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 9/21/2023.


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
12085R0202XRadiologyDiagnostic RadiologyM98117385878NEW YORKYes

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
102691647MEDICAIDNEW 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: 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.