ALBANY ADVANCED IMAGING PLLC (NPI# 1285047423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285047423 |
| Entity Type | Organization |
| Organization Name | ALBANY ADVANCED IMAGING PLLC |
| Practice Address |
400 Patroon Creek Blvd Suite 100 Albany NY 12206-5013 |
| Mailing Address |
Po Box 74 Latham NY 12110-0074 |
| Practice Telephone | 5186181662 |
| Practice Fax Number | 5186181664 |
| Mailing Telephone | 5187861298 |
| Mailing Fax Number | 5187861293 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | ROBERT RAPOPORT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5184380600 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922248 | Albany Advanced Imaging Pllc | Radiology | 648 Plank Rd, Clifton Park, NY 12065-2062 | 2005-12-14 |
| 1730334749 | Albany Advanced Imaging Pllc | Radiology | 199 Wolf Rd, Albany, NY 12205-5945 | 2008-11-19 |
| 1871578898 | Albany Advanced Imaging Pllc | Radiology | 3 Atrium Dr, Albany, NY 12205-1417 | 2005-12-13 |
| Street Address |
400 PATROON CREEK BLVD SUITE 100 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881691053 | Siobhan Kuhar | Otolaryngology | 400 Patroon Creek Blvd, Suite 205, Albany, NY 12206-5013 | 2005-07-03 |
| 1083168603 | St. Peter's Health Partners Medical Associates, PC | Emergency Medicine | 400 Patroon Creek Blvd, Suite 100, Albany, NY 12206-5013 | 2016-08-11 |
| 1386010056 | Dara Kelly | Audiologist | 400 Patroon Creek Blvd, Suite 205, Albany, NY 12206-5013 | 2015-08-18 |
| 1457737280 | Amanda Dipierro | Nurse Practitioner | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2015-08-04 |
| 1548674278 | Randi Daniels | Nurse Practitioner | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2014-06-20 |
| 1285047746 | Robert Freeman | Family Medicine | 400 Patroon Creek Blvd, Albany, NY 12206-5013 | 2014-06-03 |
| 1952720476 | Albany Medical College | Psychiatry & Neurology | 400 Patroon Creek Blvd, Suite 210, Albany, NY 12206-5013 | 2014-04-11 |
| 1144648817 | Mary Ellen Rinaldi | Pharmacist | 400 Patroon Creek Blvd, Suite 200, Albany, NY 12206-5013 | 2014-03-31 |
| 1326466244 | New York Oncology Hematology PC | Non-Pharmacy Dispensing Site | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2014-03-29 |
| 1629491329 | Albany Medical College | Psychiatry & Neurology | 400 Patroon Creek Blvd, Suite 210, Albany, NY 12206-5013 | 2014-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
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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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962846956 | Anthony Edward Lang | Radiology | 17 Colonial Ave, Albany, NY 12203-2009 | 2013-04-22 |
| 1073881157 | Frank Maynard Thames Jr. | Radiology | 2219 Golf Course Dr, Albany, GA 31721-2079 | 2011-12-05 |
| 1487934188 | Maurice Emile Marchand | Radiology | 43 New Scotland Ave, Dept of Radiology, Albany Medical Center Hospital, Albany, NY 12208 | 2011-08-25 |
| 1285926709 | Marco Diego Vitto | Radiology | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2011-05-03 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1235377334 | Douglas George Walled | Radiology | 315 So Manning Blvd, Sph Medical Imaging, Albany, NY 12208 | 2009-01-27 |
| 1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
| 1942402110 | Michael Brooks Whiteside | Radiology | 1365 Washington Ave Ste 103, Albany, NY 12206-1098 | 2007-06-01 |
| 1255415063 | Gary Siskin | Radiology | Albany Medical Center Hospital, 47 New Scotland Ave - Radiology, Albany, NY 12208 | 2006-10-25 |
| 1639268956 | Royce Marlin Cannington IIi | Radiology | 2715 Mccall Ct, Albany, GA 31721-9194 | 2006-10-12 |
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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.