MARINE PARK RADIOLOGY PC (NPI# 1053362699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362699 |
| Entity Type | Organization |
| Organization Name | MARINE PARK RADIOLOGY PC |
| Practice Address |
2270 Kimball St Suite 102 Brooklyn NY 11234-5139 |
| Practice Telephone | 7182536616 |
| Practice Fax Number | 7184071140 |
| Mailing Telephone | 7182536616 |
| Mailing Fax Number | 7184071140 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN IBARRA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7182536616 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02358643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639217425 | Marine Park Radiology PC | Radiology | 450 Avenue P, Brooklyn, NY 11223-1902 | 2007-02-02 |
| Street Address |
2270 KIMBALL ST SUITE 102 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329472 | Steven Ira Simon | Dermatology | 2270 Kimball St, Suite 201, Brooklyn, NY 11234-5139 | 2005-07-11 |
| 1194096404 | Jack Jedwab Md PC | Urology | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2012-01-18 |
| 1124333612 | Jing Zhao | Dentist | 2270 Kimball St, Suite 202, Brooklyn, NY 11234-5139 | 2010-08-10 |
| 1245568062 | Yafit Azizian | Physician Assistant | 2270 Kimball St, Suite Number 201, Brooklyn, NY 11234-5139 | 2009-12-07 |
| 1922247592 | Brooklyn Integrated Medical Associates PC | Urology | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2009-02-05 |
| 1922274182 | Atlantic Dermatologic Associates, LLP | Specialist | 2270 Kimball St, Suite 201, Brooklyn, NY 11234-5139 | 2008-05-07 |
| 1609076173 | Finestone & Wertentheil Mds PC | Ophthalmology | 2270 Kimball St, Suite 207, Brooklyn, NY 11234-5139 | 2007-07-23 |
| 1033327796 | Traube Marush & Plawes M D P C | Internal Medicine | 2270 Kimball St, Suite 210, Brooklyn, NY 11234-5139 | 2007-05-18 |
| 1669697793 | Alan Lawrence Rubin | Psychiatry & Neurology | 2270 Kimball St, Suite 206, Brooklyn, NY 11234-5139 | 2007-04-16 |
| 1427188879 | Jack Jedwab | Urology | 2270 Kimball St, Suite 214, Brooklyn, NY 11234-5139 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552548 | Sylvan Healthcare Inc | Nuclear Medicine | 849 57th St Ste 801, Brooklyn, NY 11220-3797 | 2017-11-27 |
| 1912329467 | Kings Medical Services PC | Nuclear Medicine | 1847 Utica Ave, 1st Fl, Brooklyn, NY 11234-2122 | 2014-01-16 |
| 1194016618 | Gramercy Cardiac Diagnostic Services, P.C. | Nuclear Medicine | 2329 Nostrand Ave, 600, Brooklyn, NY 11210-3839 | 2011-05-02 |
| 1366776700 | Gramercy Cardiac Diagnostic Svcs P.C. | Nuclear Medicine | 90 Moore St, Unit 1a, Brooklyn, NY 11206-3353 | 2009-10-01 |
| 1245328186 | Alexander Benenson | Nuclear Medicine | 3043 Ocean Ave Ste 107, Brooklyn, NY 11235-3400 | 2006-10-10 |
| 1871533109 | Ossama R Samuel | Nuclear Medicine | 132 Greenpoint Ave, Brooklyn, NY 11222-2274 | 2006-06-07 |
| 1790268514 | Humayun Rashid Physician PC | Nuclear Medicine | 3514 Mermaid Ave, Brooklyn, NY 11224-1508 | 2018-09-07 |
| 1124473004 | Prospect Heights Cardiology Pllc | Nuclear Medicine | 47 Plaza St W, 1b, Brooklyn, NY 11217-3905 | 2016-04-28 |
| 1316300403 | Sunrise Cardiovascular Pllc | Nuclear Medicine | 76 Belmont Ave, Brooklyn, NY 11212-6719 | 2016-04-05 |
| 1780074146 | Vignendra Ariyarajah Md, Pllc | Nuclear Medicine | 4713 Church Ave., Brooklyn, NY 11203-3209 | 2015-01-23 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.