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MOSHOLU PARK RADIOLOGY PC
NPI 1710996509
Radiology - Nuclear Radiology in Bronx, NY

Active since August 08, 2006
MOSHOLU PARK RADIOLOGY PC, 3130 GRAND CONCOURSE STE 1P, BRONX, NY 10458(718) 933-6969(718) 933-6970 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mosholu Park Radiology Pc NPPES

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

MOSHOLU PARK RADIOLOGY PC (NPI 1710996509) is a healthcare organization registered as a nuclear radiology in Bronx, New York and active in the NPI registry since August 2006. The organization lists Andresito B Pacis, President, as its authorized official.

NPPES Registry Identity

NPI1710996509
Entity TypeOrganization
Primary Taxonomy2085N0904X
Legal Business NameMOSHOLU PARK RADIOLOGY PC
Location AddressMOSHOLU PARK RADIOLOGY PC, 3130 GRAND CONCOURSE STE 1PBronx, NY 10458
Mailing AddressMosholu Park Radiology Pc, 3130 Grand Concourse Ste 1pBronx, NY 10458 · (718) 933-6969 · Fax (718) 933-6970
Phone(718) 933-6969
Fax(718) 933-6970
Organization SubpartNo
Authorized OfficialAndresito B PacisPresident · (718) 933-6969
Enumeration DateAugust 8, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1710996509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
License✔ Licensed in NY · 1252131
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 · Body ImagingTaxonomy 2085B0100X · License 1252131 (NY)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 1252131 (NY)

Other Names 1

Doing Business AsMosholu Park Radiology Pc

Other Identifiers 1

Medicaid00234428NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Mosholu Park Radiology PC's NPI number?

The NPI number for Mosholu Park Radiology PC is 1710996509. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Mosholu Park Radiology PC located?

Mosholu Park Radiology PC is located at Mosholu Park Radiology PC 3130 Grand Concourse Ste 1P, Bronx, NY 10458. The listed phone number is (718) 933-6969.

What is Mosholu Park Radiology PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mosholu Park Radiology PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.