ALBANY RADIOLOGY ASSOCIATE PC (NPI# 1508850579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508850579 |
Entity Type | Organization |
Organization Name | ALBANY RADIOLOGY ASSOCIATE PC |
Other Organization Name | ALBANY OPEN MRI |
Practice Address |
199 Wolf Rd Albany Open Mri Albany NY 12205-5945 |
Mailing Address |
1455 Broad St Albany Radiology Associates PC 4th Floor Bloomfield NJ 07003-3003 |
Practice Telephone | 5184351234 |
Practice Fax Number | 5184350079 |
Mailing Telephone | 9738739889 |
Mailing Fax Number | 9737071127 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAVID L BLOOM (PRESIDENT) |
Authorized Official Telephone | 6172360220 |
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 | 02265965 | 05 |
Other Name | Type Code |
---|---|
Albany Open MRI | Doing Business As Name - Organization |
Street Address |
199 WOLF RD ALBANY OPEN MRI |
City | ALBANY |
State | NY |
Zip Code | 12205-5945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235577651 | John F Marsden Iv | Hearing Instrument Specialist | 199 Wolf Rd, Albany, NY 12205-5945 | 2013-06-07 |
1730334749 | Albany Advanced Imaging Pllc | Radiology | 199 Wolf Rd, Albany, NY 12205-5945 | 2008-11-19 |
1306052592 | Quality Hearing Instruments LLC | Hearing Aid Equipment | 199 Wolf Rd, Albany, NY 12205-5945 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
Find all providers in zip 12205 |
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 |
Find all providers in ALBANY |
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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.