RADIOLOGY SERVICES OF NEW YORK PC - NPI 1184691537

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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About Radiology Services Of New York Pc NPPES

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

RADIOLOGY SERVICES OF NEW YORK PC (NPI 1184691537) is a healthcare organization registered as a diagnostic radiology in Staten Island, New York and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Sasan Yasharpour, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1184691537

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameRADIOLOGY SERVICES OF NEW YORK PC

Location Address2777 HYLAN BLVDStaten Island, NY 10306-4660

Mailing Address2777 Hylan BlvdStaten Island, NY 10306-4660 · (718) 979-0100 · Fax (718) 979-3602

Phone(718) 979-0100

Fax(718) 979-3602

Organization SubpartNo

Authorized OfficialSasan YasharpourMedical Director · (718) 979-0100

Enumeration DateMarch 3, 2006

Last NPPES UpdateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1184691537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · M98117385878

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2777 HYLAN BLVD, Staten Island, NY 10306

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Other Identifiers 1

Medicaid02691647NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2124286

Radiology Services Of New York · Staten Island, NY

Active · expires Mar 26, 2027

CLIA Number33D2124286

Laboratory TypePhysician Office

Certificate Effective DateJanuary 12, 2017

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Sasan Yasharpour

Laboratory Phone(718) 979-0100

Laboratory LocationRadiology Services Of New York2777 Hylan Blvd, Staten Island, NY 10306

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN WILLIAM DECORATO M.D.

Specialist