MAIN STREET RADIOLOGY AT BAYSIDE LLC NPI 1710395991

NPI Information

  • NPI: 1710395991
  • Provider Name: MAIN STREET RADIOLOGY AT BAYSIDE LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 7206 NORTHERN BLVD
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Phone: (718) 428-1500

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NPI Details

MAIN STREET RADIOLOGY AT BAYSIDE LLC is a diagnostic radiology radiology in Jackson Heights, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MAIN STREET RADIOLOGY AT BAYSIDE LLC NPI is 1710395991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7206 NORTHERN BLVD
JACKSON HEIGHTS, NY
ZIP 11372
Phone: (718) 428-1500
Fax: (718) 428-2475

The provider's authorized official is Ari Jonisch .
The authorized official title is Officer and has the following contact phone number (718) 428-1500.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 11/3/2022.

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

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: 11/21/2025

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