ADVANCED RADIOLOGICAL IMAGING-ASTORIA PC NPI 1366490104

NPI Information

  • NPI: 1366490104
  • Provider Name: ADVANCED RADIOLOGICAL IMAGING-ASTORIA PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2916 ASTORIA BLVD
    ASTORIA, NY
    ZIP 11102
  • Phone: (718) 204-5800

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NPI Details

ADVANCED RADIOLOGICAL IMAGING-ASTORIA PC is a diagnostic radiology radiology in Astoria, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED RADIOLOGICAL IMAGING-ASTORIA PC NPI is 1366490104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2916 ASTORIA BLVD
ASTORIA, NY
ZIP 11102-742
Phone: (718) 204-5800
Fax: (718) 721-4572

The provider's authorized official is Jay Tartell .
The authorized official title is President and has the following contact phone number (718) 204-5800.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 2/5/2015.

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
12085R0202XRadiologyDiagnostic 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102442868MEDICAIDNEW YORK
200250MEDICARE PINNEW 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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