NORTHEAST VASCULAR IMAGING GROUP INC (NPI# 1053773549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053773549 |
| Entity Type | Organization |
| Organization Name | NORTHEAST VASCULAR IMAGING GROUP INC |
| Practice Address |
25 Bridlewood Loop Rexford NY 12148-1701 |
| Practice Telephone | 5186989700 |
| Practice Fax Number | 5182804735 |
| Mailing Telephone | 5186989700 |
| Mailing Fax Number | 5182804735 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | MR. TIMOTHY J ZORN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5186989700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246X00000X | Spec/Tech, Cardiovascular | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
25 BRIDLEWOOD LOOP |
| City | REXFORD |
| State | NY |
| Zip Code | 12148-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932465416 | Timothy J Zorn | Spec/Tech, Cardiovascular | 25 Bridlewood Loop, Rexford, NY 12148-1701 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285991034 | John B. Moses | Internal Medicine | 1 Olde Nott Farm Road, Rexford, NY 12148 | 2012-04-18 |
| 1336278399 | Marvin Jerry Fine | Psychologist | 70 Nott Rd, Rexford, NY 12148 | 2007-03-05 |
| 1770730087 | Schenectady Radiologists | Radiology | 896 Riverview Rd, Rexford, NY 12148 | 2008-08-19 |
| 1619462595 | Fiona Mary Malmendier | Nurse Practitioner | 14 Bradt Rd, Rexford, NY 12148-1103 | 2018-06-24 |
| 1063046233 | Rachel Ann Hazlett | Doula | 118 Blue Barns Rd, Rexford, NY 12148-1110 | 2020-02-26 |
| 1174823470 | Britt Mcmanus | Speech-Language Pathologist | 961 Riverview Rd, Rexford, NY 12148-1123 | 2010-11-02 |
| 1083983431 | Holly Britton | Registered Nurse | 961 Riverview Rd, Rexford, NY 12148-1123 | 2011-12-14 |
| 1629420815 | Patricia Spataro | Counselor | 26 Bluff Rd, Rexford, NY 12148-1128 | 2016-07-12 |
| 1700208758 | Makeba Bratton | Licensed Practical Nurse | 34 Blue Barns Rd, Rexford, NY 12148-1158 | 2014-01-10 |
| 1528329687 | Elisa Marie Baumeister | Specialist | 55 Garnsey Rd, Rexford, NY 12148-1205 | 2012-06-06 |
| Find all providers in zip 12148 | ||||
| Taxonomy Code | 246X00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932465416 | Timothy J Zorn | Spec/Tech, Cardiovascular | 25 Bridlewood Loop, Rexford, NY 12148-1701 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093941718 | North Country Vascular Diagnostics, Inc | Spec/Tech, Cardiovascular | 46 Elm St, Billing Office, Glens Falls, NY 12801-3524 | 2009-06-09 |
| 1346462736 | Amk Imaging, Inc | Spec/Tech, Cardiovascular | 5022 15th Ave, Brooklyn, NY 11219 | 2007-05-03 |
| 1841365905 | Peter Digrazia | Spec/Tech, Cardiovascular | 8709 16th Ave, Brooklyn, NY 11214-4525 | 2006-11-22 |
| 1548632771 | Cardiac Rms LLC | Spec/Tech, Cardiovascular | 12 Brookside Dr, Saratoga Springs, NY 12866-6302 | 2015-10-27 |
| 1972924017 | Third Avenue Open Mri | Spec/Tech, Cardiovascular | 2781 3rd Ave, Bronx, NY 10455-4002 | 2013-12-16 |
| 1497090062 | St Peters Health Partners Medical Associates, PC | Spec/Tech, Cardiovascular | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2917 | 2012-12-07 |
| 1083871248 | Stat Portable X-ray Inc | Spec/Tech, Cardiovascular | 21118 Union Tpke, Oakland Gardens, NY 11364-3241 | 2008-05-16 |
| 1609055136 | Clinical Monitoring Service | Spec/Tech, Cardiovascular | 1615 Avenue I, Apt 220, Brooklyn, NY 11230-3049 | 2007-11-01 |
| 1073690566 | Tlc Diagnostics, LLC | Spec/Tech, Cardiovascular | 50 Main St, East Rockaway, NY 11518-1929 | 2006-11-01 |
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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.