MAIN STREET RADIOLOGY AT BAYSIDE,LLC (NPI# 1942397880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942397880 |
| Entity Type | Organization |
| Organization Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Practice Address |
13625 37th Ave Flushing NY 11354-4169 |
| Mailing Address |
3211 Francis Lewis Blvd Flushing NY 11358-1922 |
| Practice Telephone | 7184281500 |
| Practice Fax Number | 7186611305 |
| 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 |
| 1598852469 | Main Street Radiology At Bayside,llc | Radiology | 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | 2006-10-10 |
| Street Address |
13625 37TH AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609859198 | Shanwan Chen | Psychiatry & Neurology | 13625 37th Ave, Suite 301, Flushing, NY 11354-4169 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| 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 |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1184104903 | Multicare Medical Diagnostics PC | Radiology | 13249 41st Rd Ste 1b, Flushing, NY 11355-4286 | 2018-08-21 |
| 1922551027 | Full Frame Radiology & Diagnostic Imaging Group Pllc | Radiology | 13237 Pople Ave, Flushing, NY 11355-4448 | 2016-07-26 |
| 1750679643 | Annie Yuen | Radiology | 19648 45th Ave, Flushing, NY 11358-3508 | 2011-07-13 |
| 1639494941 | Sonus Medical PC | Radiology | 13656 39th Ave Ste 303b, Flushing, NY 11354-5508 | 2010-03-30 |
| 1093990681 | David J. Axelrod | Radiology | 17660 Union Tpke Ste 130, Flushing, NY 11366 | 2008-01-02 |
| 1316149560 | Diagnostic Radiology for Women PC | Radiology | 170-17 Northern Boulevard, Flushing, NY 11358 | 2007-06-01 |
| 1033325865 | Elmont Open Mri & Diagnostics Radiology, PC | Radiology | 16105 Horace Harding Expy, Flushing, NY 11365-1426 | 2007-05-16 |
| 1992882682 | Kissena Medical Imaging,p.c. | Radiology | 140-15 Holly Ave, Flushing, NY 11355-3433 | 2006-11-01 |
| 1780771634 | Main Street Radiology At Bayside,llc | Radiology | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 | 2006-10-10 |
| Find all providers in FLUSHING | ||||
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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.