RADIOLOGY SERVICES OF NEW YORK PC NPI 1184691537

NPI Information

NPI: 1184691537
Provider Name: RADIOLOGY SERVICES OF NEW YORK PC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
CLIA Number: 33D2124286
Address: 2777 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 979-0100

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	M98117385878	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	02691647	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: 3/30/2025

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