MARINE PARK RADIOLOGY PC
NPI 1053362699
Radiology - Diagnostic Radiology in Brooklyn, NY

Active since May 15, 2006
2270 KIMBALL STREET, STE 102, BROOKLYN, NY 11234(718) 253-6616(718) 253-7059 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Marine Park Radiology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINE PARK RADIOLOGY PC (NPI 1053362699) is a healthcare organization registered as a diagnostic radiology in Brooklyn, New York and active in the NPI registry since May 2006. The organization lists Harold R Tanenbaum, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053362699
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMARINE PARK RADIOLOGY PC
Location Address2270 KIMBALL STREET, STE 102Brooklyn, NY 11234
Mailing Address2270 Kimball Street, Ste 102Brooklyn, NY 11234 · (718) 253-6616 · Fax (718) 253-7059
Fax(718) 253-7059
Organization SubpartNo
Authorized OfficialHarold R TanenbaumMedical Director · (718) 253-6616
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
✔ NPI 1053362699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
2270 KIMBALL STREET, Brooklyn, NY 11234

Other Identifiers 1

Medicaid02358643NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marine Park Radiology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Marine Park Radiology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Diagnostic Radiology
NPI 1407866338
2270 KIMBALL ST STE 102
Brooklyn, NY 11234
(718) 253-6616
✔ PECOSSame address
Diagnostic Radiology
NPI 1689721078
33 KENSINGTON CIR
Manhasset, NY 11030
(917) 754-8363
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marine Park Radiology PC's NPI number?

The NPI number for Marine Park Radiology PC is 1053362699. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Marine Park Radiology PC located?

Marine Park Radiology PC is located at 2270 Kimball Street Ste 102, Brooklyn, NY 11234. The listed phone number is (718) 253-6616.

What is Marine Park Radiology PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Marine Park Radiology PC enrolled in Medicare?

Yes. Marine Park Radiology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marine Park Radiology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Marine Park Radiology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marine Park Radiology PC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.