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NEW YORK RADIATION ONCOLOGY ASSOCIATES, PC
NPI 1215159603
Specialist in Ozone Park, NY

Active since May 03, 2007
92-02 LIBERTY AVENUE, OZONE PARK, NY 11417(718) 835-9729(718) 925-9817 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New York Radiation Oncology Associates, Pc NPPES

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

NEW YORK RADIATION ONCOLOGY ASSOCIATES, PC (NPI 1215159603) is a healthcare organization registered as a specialist in Ozone Park, New York and active in the NPI registry since May 2007. The organization lists Rene S Mediavillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1215159603
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEW YORK RADIATION ONCOLOGY ASSOCIATES, PC
Location Address92-02 LIBERTY AVENUEOzone Park, NY 11417
Mailing Address92-02 Liberty AvenueOzone Park, NY 11417 · (718) 835-9729 · Fax (718) 925-9817
Phone(718) 835-9729
Fax(718) 925-9817
Organization SubpartNo
Authorized OfficialRene S MediavilloOwner · (718) 835-9729
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215159603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
92-02 LIBERTY AVENUE, Ozone Park, NY 11417
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Other Identifiers 1

Medicaid02146674NY

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

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 New York Radiation Oncology Associates, PC's NPI number?

The NPI number for New York Radiation Oncology Associates, PC is 1215159603. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is New York Radiation Oncology Associates, PC located?

New York Radiation Oncology Associates, PC is located at 92-02 Liberty Avenue, Ozone Park, NY 11417. The listed phone number is (718) 835-9729.

What is New York Radiation Oncology Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for New York Radiation Oncology Associates, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.