RENAISSANCE MEDICAL IMAGING PC


Address: 5106 Vernon Blvd, Ste 204, Long Island City, NY 11101
Phone: 6467132955

RENAISSANCE MEDICAL IMAGING PC (NPI# 1467794354) 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) 1467794354
Entity Type Organization
Organization Name RENAISSANCE MEDICAL IMAGING PC
Practice Address 5106 Vernon Blvd
Ste 204
Long Island City
NY 11101
Practice Telephone 6467132955
Practice Fax Number 8778887955
Mailing Telephone 6467132955
Mailing Fax Number 8778887955
Enumeration Date 2013-03-19
Last Update Date 2019-05-15
Authorized Official Name RICHARD DENISE (OWNER/PRESIDENT)
Authorized Official Telephone 6467132955
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00922725 05

Office Location

Street Address 5106 VERNON BLVD
STE 204
City LONG ISLAND CITY
State NY
Zip Code 11101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568789055 Metropolitan Diagnostic Radiology, P.C. Specialist 5106 Vernon Blvd, Suite 203, Long Island City, NY 11101-5808 2010-04-23
1982946273 Hd Medical PC Radiology 5106 Vernon Blvd, Suite 202, Long Island City, NY 11101-5906 2013-03-25
1457619017 Dimitry Hikin Radiology 5106 Vernon Blvd, Ste 202, Long Island City, NY 11101-5906 2012-05-01

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982946273 Hd Medical PC Radiology 5106 Vernon Blvd, Suite 202, Long Island City, NY 11101-5906 2013-03-25
1588912711 Roy Raad Radiology 475 48th Ave, Long Island City, NY 11109-5501 2012-08-20
1457619017 Dimitry Hikin Radiology 5106 Vernon Blvd, Ste 202, Long Island City, NY 11101-5906 2012-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558960690 New York Medical Diagnostic Imaging PC Radiology 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 2020-10-20
1700490034 Hudson Valley Radiologists, PC Radiology 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 2020-09-03
1730702986 Hudson Valley Radiologists, PC Radiology 17 Argent Dr, Poughkeepsie, NY 12603-6040 2020-05-22
1114540366 Hudson Valley Radiologists, PC Radiology 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 2020-05-22
1831712082 Hudson Valley Radiologists, PC Radiology 23 Sommerset Rd, Poughkeepsie, NY 12603 2020-05-22
1124641378 Hudson Valley Radiologists, PC Radiology 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 2020-05-22
1023631272 Hudson Valley Radiologists, PC Radiology 3 Riding Ridge Trl, Beacon, NY 12508-7023 2020-05-22
1740803998 Hudson Valley Radiologists, PC Radiology 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 2020-05-22
1215550462 Hudson Valley Radiologists, PC Radiology 50 Leonard St Unit 106, Beacon, NY 12508-3455 2020-05-22
1285257519 Hudson Valley Radiologists, PC Radiology 14 Hilee Rd, Rhinebeck, NY 12572-2347 2020-05-21
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Competitor

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City LONG ISLAND CITY
Zip Code 11101

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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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