AVIVA MEDICAL IMAGING P.C. NPI 1508068131

NPI Information

NPI: 1508068131
Provider Name: AVIVA MEDICAL IMAGING, P.C.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2055 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 862-3760
Get Directions

AVIVA MEDICAL IMAGING, P.C. is a radiology clinic center in Bronx, NY. AVIVA MEDICAL IMAGING, P.C. NPI is 1508068131. The provider is registered as an organization entity type.

The provider's business location address is:

2055 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461-606
Phone: (718) 862-3760
Fax: (718) 824-3113

The provider's authorized official is Robert Scott Schepp .
The authorized official title is Owner and has the following contact phone number (718) 862-3760.

The enumeration date for this NPI number is 6/5/2007 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	261QR0200X	Clinic/Center	Radiology	146636-6	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	01086855	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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