GOETHALS RADIOLOGY PC NPI 1962492546

NPI Information

NPI: 1962492546
Provider Name: GOETHALS RADIOLOGY PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
475 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 226-9175
Get Directions

GOETHALS RADIOLOGY 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. GOETHALS RADIOLOGY PC NPI is 1962492546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-436
Phone: (718) 226-9175
Fax: (718) 876-3462

The provider's authorized official is Shalom Buchbinder .
The authorized official title is President and has the following contact phone number (718) 226-9175.

The enumeration date for this NPI number is 10/25/2005 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	2085R0202X	Radiology	Diagnostic Radiology	6050006	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	2318846	OTHER		UHC
2	3217156	OTHER		AETNA
3	WTE361	OTHER		EMPIRE BC/BS
4	4105246	OTHER		GHI
5	02597262	MEDICAID	NEW YORK
6	3C3756	OTHER		HEALTHNET

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

NPI Synchronization or Removal

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