MARINE PARK RADIOLOGY PC
NPI 1053362699
Radiology - Diagnostic Radiology in Brooklyn, NY
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
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
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
2Medicare 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)
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.