Charles J Vassallo (NPI# 1578598330, PAC ID# 6204727142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1578598330 |
| PAC ID by PECOS | 6204727142 |
| Professional Enrollment ID | I20160718000633 |
| Full Name | Charles J Vassallo |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
2500 Kalakaua Ave Apt 1003 Honolulu HI 96815-3602 |
| Phone Number | 9174491230 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| 330009 | BRONX-LEBANON HOSPITAL CENTER |
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| 330135 | BON SECOURS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 | 9174491230 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 2500 Kalakaua Ave, Honolulu, HI 96815-3602 | 9174491230 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 349 W 21st St B, New York, NY 10011-3080 | 9174491230 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Su-yu J Li | Diagnostic Radiology | Radadvantage A Professional Corporation | 6222 Wilshire Blvd, Suite 450, Los Angeles, CA 90048-5162 |
| Street Address |
2500 KALAKAUA AVE APT 1003 |
| City | HONOLULU |
| State | HI |
| Zip | 96815-3602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Finelli | Diagnostic Radiology | Akron Radiology Inc | 1551 Ala Wai Blvd, Suite 1505, Honolulu, HI 96815-1043 |
| Syed I Ali | Diagnostic Radiology | Akron Radiology Inc | 1551 Ala Wai Blvd, Suite 1505, Honolulu, HI 96815-1043 |
| Laila M Spina | Psychologist, Clinical | 438 Hobron Ln, Suite 415, Honolulu, HI 96815-1229 | |
| Peter Rudlowski | Psychiatry | 444 Hebron Lane, Suite 315, Honolulu, HI 96815-1229 | |
| Tracie M Umaki | Psychologist, Clinical | 438 Hobron Ln, Suite 415, Honolulu, HI 96815-1229 | |
| Thuy K Huynh | Psychiatry | Aaron Kaplan, Ph.d., Inc. | 438 Hobron Ln, Suite 315, Honolulu, HI 96815-1229 |
| Aaron S Kaplan | Psychologist, Clinical | Aaron Kaplan, Ph.d., Inc. | 438 Hobron Ln, Suite 315, Honolulu, HI 96815-1229 |
| Gayle Hostetter | Psychologist, Clinical | 438 Hobron Ln, Suite 415, Honolulu, HI 96815-1229 | |
| Lacey Ann Fink | Psychologist, Clinical | Aaron Kaplan, Ph.d., Inc. | 438 Hobron Ln, Suite 315, Honolulu, HI 96815-1229 |
| Rudolf J Kuszmider | Psychiatry | 438 Hobron Ln, Suite 307, Honolulu, HI 96815-1229 | |
| Find all physicians in zip 96815 | |||
| City | HONOLULU |
| Zip Code | 96815 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HONOLULU + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Charles J Vassallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.