MASANORI ICHISE MD
NPI 1598707598
Radiology - Nuclear Radiology in New York, NY

Q: What is Masanori Ichise's NPI number?

The NPI number for Masanori Ichise is 1598707598. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Masanori Ichise's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Q: When was this NPI record last updated?

The NPPES record for Masanori Ichise was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 12, 2006

630 W 168TH ST # MC28, NEW YORK, NY 10032(212) 305-1948(212) 305-5777 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Masanori Ichise Md NPPES

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

MASANORI ICHISE MD (NPI 1598707598) is an individual nuclear radiology provider in New York, New York, licensed in New York (238962-1) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1598707598

Entity TypeIndividualMale

Primary Taxonomy2085N0904X

Provider Legal NameMASANORI ICHISECredential: MD

Location Address630 W 168TH ST # MC28New York, NY 10032-3725

Mailing Address630 W 168th St # Mc28New York, NY 10032-3725 · (212) 305-1948 · Fax (212) 305-5777

Phone(212) 305-1948

Fax(212) 305-5777

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateNovember 27, 2007

✔ NPI 1598707598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0904X

License✔ Licensed in NY · 238962-1

Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 238962 (NY)

630 W 168TH ST # MC28, New York, NY 10032

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Other Identifiers 5

Medicare UPIN75R421NY

Medicare UPINI23022NY

OtherW35021NY · Medicare Group #

Medicaid2744470NY

Other02186203NY · Medicaid Group #

Other Providers at the Same Location NPPES 20

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

TAR HWANG MD

Radiology (Diagnostic Radiology)