MAIN STREET RADIOLOGY AT BAYSIDE,LLC (NPI# 1598852469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598852469 |
| Entity Type | Organization |
| Organization Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Practice Address |
4401 Francis Lewis Blvd Bayside NY 11361-3002 |
| Mailing Address |
3211 Francis Lewis Blvd Flushing NY 11358-1922 |
| Practice Telephone | 7184281500 |
| Practice Fax Number | 7183520292 |
| Mailing Telephone | 7183529850 |
| Mailing Fax Number | 7183520102 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | DR. WILLIAM G WOLFF (CHAIRMAN) |
| Authorized Official Telephone | 7183529850 |
| Authorized Official Credential | M.D. |
| 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 | 02217256 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780771634 | Main Street Radiology At Bayside,llc | Radiology | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 | 2006-10-10 |
| 1942397880 | Main Street Radiology At Bayside,llc | Radiology | 13625 37th Ave, Flushing, NY 11354-4169 | 2006-10-10 |
| Street Address |
4401 FRANCIS LEWIS BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784239 | Martin M Kay | Internal Medicine | 4401 Francis Lewis Blvd, Suite L3a, Bayside, NY 11361-3028 | 2005-07-18 |
| 1871868588 | Francis Lewis Medical, P.C. | Anesthesiology | 4401 Francis Lewis Blvd, Bayside, NY 11361-3028 | 2012-03-13 |
| 1669762258 | North Shore-lij Cardiovascular Medicine PC | Internal Medicine | 4401 Francis Lewis Blvd, Level 3a, Bayside, NY 11361-3002 | 2011-04-15 |
| 1598917825 | Neofitos Stefanides M.d., P.C. | Orthopaedic Surgery | 4401 Francis Lewis Blvd, Suite L3b, Bayside, NY 11361-3002 | 2008-10-17 |
| 1245487081 | Daniel Marrero | Internal Medicine | 4401 Francis Lewis Blvd, Suite L3a, Bayside, NY 11361-3028 | 2008-08-22 |
| 1457515967 | Joonhyuk Kim | Internal Medicine | 4401 Francis Lewis Blvd, Suite L2a, Bayside, NY 11361-3028 | 2008-07-14 |
| 1396911525 | Greater Queens Podiatry Pllc | Podiatrist | 4401 Francis Lewis Blvd, L3-b, Bayside, NY 11361-3002 | 2008-05-07 |
| 1457539512 | Nicholas C. Kaloudis M.d. Pllc | Internal Medicine | 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | 2008-01-31 |
| 1881874741 | Angela Un Chong | Physician Assistant | 4401 Francis Lewis Blvd, Ste L3a, Bayside, NY 11361-3028 | 2007-11-08 |
| 1700074051 | Stephanie Noone | Specialist | 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| 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 |
|---|---|---|---|---|
| 1740576131 | Kuo-sheng Juang | Radiology | 6727 213th St, Bayside, NY 11364-2509 | 2011-06-23 |
| 1841466042 | Ari Isaac Jonisch | Radiology | 32-25 Francis Lewis Blvd, Bayside, NY 11358 | 2008-05-07 |
| 1578542767 | Vladimir Ivanovic | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-01-16 |
| 1003890278 | Timothy L Workman | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-12-01 |
| 1750365284 | Apichai Jarenwattananon | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-29 |
| 1245214774 | Mitchel M. S. Kim | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-29 |
| 1508849779 | Robert Wittchow | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-22 |
| 1831171487 | Patrick Mcwey | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-18 |
| 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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| 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.