SLR DIAGNOSTIC RADIOLOGY, P.C.


Address: 1111 Amsterdam Ave, Dept of Radiology, New York, NY 10025-1716
Phone: 2018303122

SLR DIAGNOSTIC RADIOLOGY, P.C. (NPI# 1225069149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225069149
Entity Type Organization
Organization Name SLR DIAGNOSTIC RADIOLOGY, P.C.
Other Organization Name ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, DEPT OF RADIOLOGY
Practice Address 1111 Amsterdam Ave
Dept of Radiology
New York
NY 10025-1716
Mailing Address Po Box 10269
Uniondale
NY 11555-0269
Practice Telephone 2018303122
Practice Fax Number 2012000838
Mailing Telephone 2018303122
Mailing Fax Number 2012000838
Enumeration Date 2006-07-06
Last Update Date 2013-02-11
Authorized Official Name JEANNE BAER (PRESIDENT)
Authorized Official Telephone 2018303122
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name SLR DIAGNOSTIC RADIOLOGY, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085N0904X Radiology
Specialization: Nuclear Radiology
Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
Allopathic & Osteopathic Physicians
Y 2085R0205X Radiology
Specialization: Radiological Physics
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01002042 05

Other Provider/Organization Names

Other Name Type Code
St. Luke's-Roosevelt Hospital Center, Dept of Radiology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255508073 Slr Diagnostic Radiology, P.C. Radiology 3201 Kings Hwy, Dept of Radiology, Brooklyn, NY 11234-2625 2008-05-12
1578730313 Slr Diagnostic Radiology, P.C. Radiology 281 1st Ave, Dept of Radiology, New York, NY 10003-2925 2008-05-12
1497922215 Slr Diagnostic Radiology, P.C. Radiology 310 E 14th St, Dept of Radiology, New York, NY 10003-4201 2008-05-12
1508033341 Slr Diagnostic Radiology, P.C. Radiology 10 Union Sq E, Dept of Radiology, Suite 3p, New York, NY 10003-3314 2008-05-12
1851568786 Slr Diagnostic Radiology, P.C. Radiology 55 E 34th St, Dept of Radiology, New York, NY 10016-4337 2008-05-09
1124177159 Slr Diagnostic Radiology, P.C. Radiology 1111 Amsterdam Ave, Dept of Radiology, New York, NY 10025-1716 2007-01-09
1306994173 Slr Diagnostic Radiology, P.C. Radiology 1000 10th Ave, Dept of Radiology, New York, NY 10019-1147 2007-01-08

Office Location

Street Address 1111 AMSTERDAM AVE
DEPT OF RADIOLOGY
City NEW YORK
State NY
Zip Code 10025-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881690352 Peter Rolf Holt Internal Medicine 1111 Amsterdam Ave, New York, NY 10025-1716 2005-06-21
1396344867 Joseph Jean Elias Student in an Organized Health Care Education/Training Program 1111 Amsterdam Ave, New York, NY 10025-1716 2020-10-25
1174122568 Juliana G. Arantes I Physical Therapist 1111 Amsterdam Ave, New York, NY 10025-1716 2020-10-18
1457958597 Keerthana Haridas Student in an Organized Health Care Education/Training Program 1111 Amsterdam Ave, New York, NY 10025-1716 2020-10-01
1487268983 Keivonna Nyarko Nurse Practitioner 1111 Amsterdam Ave, New York, NY 10025-1716 2020-09-02
1457961161 Gizelle Elena Perez Nurse Practitioner 1111 Amsterdam Ave, New York, NY 10025-1716 2020-08-06
1609484641 Minh Quan Vu Student in an Organized Health Care Education/Training Program 1111 Amsterdam Ave, New York, NY 10025-1716 2020-07-15
1497370936 Ami Shah Pharmacist 1111 Amsterdam Ave, New York, NY 10025-1716 2020-06-10
1598388464 Conor W Buckley Student in an Organized Health Care Education/Training Program 1111 Amsterdam Ave, New York, NY 10025-1716 2020-05-26
1639792799 Javier Joseph Zulueta Internal Medicine 1111 Amsterdam Ave, New York, NY 10025-1716 2020-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730795840 Third Eye Acupuncture P.C. Acupuncturist 255 West 94th Street, Apt. 6k, New York, NY 10025 2020-09-23
1326653882 Clare Elizabeth Dacey Social Worker 251 West 98th Street, Apartment 6-b, New York, NY 10025 2020-09-11
1528672870 Alexandra E Lamm Psychologist 50 W 96th Street, Apt 5a-d, New York, NY 10025 2020-09-03
1700402310 Jean Tully Counselor 240 W102nd St., #22a, New York, NY 10025 2020-06-19
1518591692 Ethan Arthur Baker Acupuncturist 309 W. 99th St., Apt. 8b, New York City, NY 10025 2020-02-27
1083258321 Lisanne Godnick Social Worker 210 W 101 St, Nyc, NY 10025 2019-10-30
1558910463 Cherry Jones Social Worker 440 W 114th Street, Clark 6, New York, NY 10025 2019-09-04
1245894674 Westside Nutrition Pllc Dietitian, Registered 240 West 102nd Street, Suite 15, New York, NY 10025 2019-05-01
1518429380 Nathan Yehuda Ben Agi Student in an Organized Health Care Education/Training Program Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 2019-04-02
1366913196 Mavis H Baird Counselor 243 W 99th St #3e, New York, NY 10025 2018-12-05
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Taxonomy Information

Taxonomy Code 2085R0205X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiological Physics

Taxonomy Definition

A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740512581 Yeh-chi Lo Radiology One Gustave Levy Pl. 1236, 1184 Fifth Ave, New York, NY 10029 2010-02-04
1184655896 Beth Gail Wadler Radiology 160 E 34th St Fl 3, New York, NY 10016-4744 2006-07-05
1225069867 Robert Justin Burgess Radiology 1111 Amsterdam Ave., New York, NY 10025 2006-07-05
1417988106 Maria Bouzouki Radiology 1st Ave @ 16th Street, New York, NY 10003 2006-07-05
1821034935 Susan Krysiewicz Radiology First Avenue and 16th Steet, New York, NY 10003 2006-06-20
1790732451 Roy A Holliday Radiology 310 East 14th Street, New York, NY 10003-4201 2006-05-28
1790386399 Carl Elliston Radiology 622 W 168th St, Department of Radiation Oncology, New York, NY 10032 2020-11-02
1871853663 Yongguang Liang Radiology 177 Fort Washington Ave, Milstein Bldg Room #3-265b, New York, NY 10032-3733 2012-05-25
1598813271 Central Park Women Imaging Radiology 1790 Broadway, 9th Floor, New York, NY 10019-1412 2007-01-08
1124176789 New York Radiogoly Associate Radiology 140 4th Ave, Lower Level, New York, NY 10003-4901 2007-01-08
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Competitor

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City NEW YORK
Zip Code 10025

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Dataset Information

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.

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