ST. JOSEPH'S IMAGING
NPI 1457361529
Nurse Practitioner - Adult Health in Fayetteville, NY

Q: What is St. Joseph's Imaging's NPI number?

The NPI number for St. Joseph's Imaging is 1457361529. It was assigned to this organization in the NPPES registry on August 9, 2006.

Q: What is St. Joseph's Imaging's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since August 09, 2006

4109 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 329-7555(315) 329-7559 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About St. Joseph's Imaging NPPES

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

ST. JOSEPH'S IMAGING (NPI 1457361529) is a healthcare organization registered as an adult health in Fayetteville, New York and active in the NPI registry since August 2006. The organization lists Ann M Roman, Interventional Radiology, as its authorized official.

NPPES Registry Identity

NPI1457361529

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameST. JOSEPH'S IMAGING

Location Address4109 MEDICAL CENTER DRFayetteville, NY 13066-6600

Mailing Address4109 Medical Center DrFayetteville, NY 13066-6600 · (315) 329-7555 · Fax (315) 329-7559

Phone(315) 329-7555

Fax(315) 329-7559

Organization SubpartNo

Authorized OfficialAnn M RomanInterventional Radiology · (315) 329-7555

Enumeration DateAugust 9, 2006

Last NPPES UpdateOctober 3, 2011

✔ NPI 1457361529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 302135

4109 MEDICAL CENTER DR, Fayetteville, NY 13066

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Other Identifiers 2

Medicare ID-Type UnspecifiedBB8287NY

Medicare UPINS95084NY

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 St. Joseph's Imaging's NPI number?

The NPI number for St. Joseph's Imaging is 1457361529. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is St. Joseph's Imaging located?

St. Joseph's Imaging is located at 4109 Medical Center Dr, Fayetteville, NY 13066. The listed phone number is (315) 329-7555.

What is St. Joseph's Imaging's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for St. Joseph's Imaging was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.