MARINE PARK RADIOLOGY PC (NPI# 1639217425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639217425 |
| Entity Type | Organization |
| Organization Name | MARINE PARK RADIOLOGY PC |
| Other Organization Name | BROOKLYN MEDICAL IMAGING CENTER |
| Practice Address |
450 Avenue P Brooklyn NY 11223-1902 |
| Mailing Address |
Po Box 13245 Hauppauge NY 11788-0840 |
| Practice Telephone | 7183756000 |
| Practice Fax Number | 7183756576 |
| Mailing Telephone | 6319525701 |
| Mailing Fax Number | 6319525740 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | ALFREDO C. ROQUE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7183756000 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02358643 | 05 |
| Other Name | Type Code |
|---|---|
| Brooklyn Medical Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053362699 | Marine Park Radiology PC | Nuclear Medicine | 2270 Kimball St, Suite 102, Brooklyn, NY 11234-5139 | 2006-05-15 |
| Street Address |
450 AVENUE P |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11223-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811941867 | Mark Novick Md PC | Radiology | 450 Avenue P, Brooklyn, NY 11223-1902 | 2006-05-22 |
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| 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 |
| Find all providers in zip 11223 | ||||
| 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 |
|---|---|---|---|---|
| 1881249035 | Medical Diagnostic Inc. | Radiology | 306 Bay 14th St, Brooklyn, NY 11214-5810 | 2019-08-05 |
| 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.