SOTA MRI PC (NPI# 1083941959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083941959 |
| Entity Type | Organization |
| Organization Name | SOTA MRI PC |
| Practice Address |
2647 Coney Island Ave Brooklyn NY 11223-5502 |
| Practice Telephone | 7186767676 |
| Practice Fax Number | 3475873459 |
| Mailing Telephone | 7186767676 |
| Mailing Fax Number | 3475873459 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | DR. RONALD S WAGNER (PRESIDENT) |
| Authorized Official Telephone | 9176857969 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2647 CONEY ISLAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11223-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952355158 | Sofiya Bondar | Dentist | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2006-05-20 |
| 1073923561 | Colorectal Care Pllc | Colon & Rectal Surgery | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2014-05-06 |
| 1770906950 | Ig Gastroenterology P.C. | Internal Medicine | 2647 Coney Island Ave, Brooklyn, NY 11223 | 2014-01-24 |
| 1851602379 | Marcel Picard | Occupational Therapist | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2010-06-30 |
| 1427369602 | Diptesh Patel | Physical Therapist | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2010-06-23 |
| 1992965974 | Mychailo Fulmes | Colon & Rectal Surgery | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2008-06-12 |
| 1760641617 | Briut Comprehensive Occupational Therapy Services PC | Occupational Therapist | 2647 Coney Island Ave, Brooklyn, NY 11223-0000 | 2008-06-05 |
| 1871775536 | Good Care Pediatric LLP | Pediatrics | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2007-12-04 |
| 1033315536 | Delta Radiology & Imaging P.C. | Clinic/Center | 2647 Coney Island Ave, Suite 100, Brooklyn, NY 11223-5502 | 2007-06-22 |
| 1265633598 | Bdf Pediatric Group LLP | Pediatrics | 2647 Coney Island Ave, Brooklyn, NY 11223-5502 | 2007-05-31 |
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| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1184269755 | Core Physical Therapy Services PC | Physical Therapist | 2003 Coney Island Ave, Brooklyn, NY 11223 | 2019-11-07 |
| 1558903658 | Solar Health Physical Therapy and Acupuncture P.C. | Acupuncturist | 339 Kings Highway, Brooklyn, NY 11223 | 2019-10-10 |
| 1356810543 | Victorian Aznar | Physical Therapist | 1750 W 9th St, Brooklyn, NY 11223 | 2018-11-16 |
| 1669990149 | Avraham Chaim Knobel | Social Worker | 2020 Coney Island Avenue, Brooklyn, NY 11223 | 2017-09-05 |
| 1386174373 | Orly Meyer | Occupational Therapist | 2092 E 7th St, Brooklyn, NY 11223 | 2017-06-13 |
| 1790223840 | Roshauna Joseph | Licensed Practical Nurse | 2326 West 8th Street, Brooklyn, NY 11223 | 2017-02-09 |
| 1942747142 | Ace Management Am Corp | Case Management | 2375 East 3rd Street Brooklyn, 1a, Brooklyn, NY 11223 | 2017-01-25 |
| 1518401140 | Auburn Heller | Speech-Language Pathologist | 64 Ave X, Speech Dept P721k, Brooklyn, NY 11223 | 2016-12-16 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1023468717 | Sean Shorone Tamir | Radiology | 4802 Tenth Ave., Maimonides Medical Center, Department of Radiology, Brooklyn, NY 11219 | 2016-06-14 |
| 1841685435 | Junaid Aslam | Radiology | 8675 Bay Pkwy, Brooklyn, NY 11214-4186 | 2015-04-01 |
| 1639581358 | Avalon Radiology, P.C. | Radiology | 2085 West 11th Street, Brooklyn, NY 11223 | 2014-05-29 |
| 1972842789 | Brooklyn Medical Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2013-02-14 |
| 1346526829 | David A Zelman | Radiology | 1739 East 33rd St, Brooklyn, NY 11234-4423 | 2011-10-27 |
| 1366723876 | Bay Ridge Medical Imaging, P.c | Radiology | 7119 13th Ave, Brooklyn, NY 11228-1605 | 2011-08-30 |
| 1952689812 | Marina Perlov Radiology PC | Radiology | 115 Brightwater Ct Apt 6b, Brooklyn, NY 11235-7625 | 2011-07-26 |
| 1982992657 | Qwie T Chew | Radiology | 870 Ocean Ave, Brooklyn, NY 11226-6716 | 2011-07-15 |
| 1720390099 | Irina Rapoport | Radiology | 100 Oceana Dr W Apt 3c, Brooklyn, NY 11235-6651 | 2010-07-02 |
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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.