MAIN STREET RADIOLOGY AT BAYSIDE LLC (NPI# 1851893317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851893317 |
Entity Type | Organization |
Organization Name | MAIN STREET RADIOLOGY AT BAYSIDE LLC |
Practice Address |
8314 Cooper Ave Glendale NY 11385-7722 |
Mailing Address |
3225 Francis Lewis Blvd Flushing NY 11358-1922 |
Practice Telephone | 7184281500 |
Practice Fax Number | 7189072389 |
Enumeration Date | 2018-03-01 |
Last Update Date | 2018-04-06 |
Authorized Official Name | DAVID M ROGERS (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 7183529850 |
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 |
Street Address |
8314 COOPER AVE |
City | GLENDALE |
State | NY |
Zip Code | 11385-7722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
Find all providers in zip 11385 |
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. |
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1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
1780154153 | Bay Imaging Consultants Medical Group | Radiology | 435 W Los Feliz Rd Unit 462, Glendale, CA 91204-3569 | 2018-11-28 |
1609284660 | Armen Aivazi | Radiology | 3335 Deer Creek Ln, Glendale, CA 91208-1166 | 2014-07-23 |
1043543275 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 | 2009-09-04 |
1558594747 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 100, Glendale, AZ 85306-4711 | 2009-09-03 |
1336387059 | Saadet Atay-rosenthal | Radiology | 5601 W Saguaro Park Ln, Glendale, AZ 85310-2815 | 2009-02-03 |
1912166968 | Jeanne C Lammering | Radiology | 1144 Cordova Ave, Glendale, CA 91207-1751 | 2008-06-05 |
1740403104 | Glendale Diagnostic Imaging Network Medical Office, Inc | Radiology | 403 S Glendale Ave, Glendale, CA 91205-2222 | 2007-04-11 |
1689750382 | James Chouming Wu | Radiology | 1420 South Central Avenue, Glendale, CA 91204 | 2006-10-27 |
1336238963 | Steven Jc Wong | Radiology | 624 S. Central Ave., Glendale, CA 91204-2009 | 2006-10-12 |
Find all providers in GLENDALE |
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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.