DR. PAUL BENJAMIN ROLEN


Address: 2166 Broadway Apt 21a, New York, NY 10024-6673
Phone: 2123962260

DR. PAUL BENJAMIN ROLEN (NPI# 1306875067) 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) 1306875067
Entity Type Individual
Full Name DR. PAUL BENJAMIN ROLEN
Credential M.D
Practice Address 2166 Broadway Apt 21a
New York
NY 10024-6673
Practice Telephone 2123962260
Practice Fax Number 9546986963
Mailing Telephone 2123962260
Mailing Fax Number 9546986963
Enumeration Date 2006-07-02
Last Update Date 2016-08-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085D0003X Radiology
Specialization: Diagnostic Neuroimaging
186121 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY RAILROAD MEDICARE P00449080 01
NY 01818079 05

Office Location

Street Address 2166 BROADWAY APT 21A
City NEW YORK
State NY
Zip Code 10024-6673

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Taxonomy Information

Taxonomy Code 2085D0003X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Neuroimaging

Taxonomy Definition

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new]

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Competitor

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City NEW YORK
Zip Code 10024

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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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