SOUTHERN TIER IMAGING
NPI 1760447692
Radiology - Diagnostic Radiology in Johnson City, NY
About Southern Tier Imaging NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN TIER IMAGING (NPI 1760447692) is a healthcare organization registered as a diagnostic radiology in Johnson City, New York and active in the NPI registry since April 2006. The organization lists Edward Santelli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Tier Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Southern Tier Imaging, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (10)
San Francisco, CA 94132
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Park Avenue Associates In Radiology PC's NPI number?
The NPI number for Park Avenue Associates In Radiology PC is 1760447692. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as Southern Tier Imaging.
Where is Park Avenue Associates In Radiology PC located?
Park Avenue Associates In Radiology PC is located at 32-36 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 763-6104.
What is Park Avenue Associates In Radiology PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Park Avenue Associates In Radiology PC enrolled in Medicare?
Yes. Park Avenue Associates In Radiology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Avenue Associates In Radiology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Park Avenue Associates In Radiology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Park Avenue Associates In Radiology PC was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southern Tier Imaging · NPI 1760447692
Diagnostic Radiology organization in Johnson City, New York. Organization record, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1760447692 (Entity type: Organization)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Park Avenue Associates In Radiology Pc
- **Organization subpart:** No
- **Authorized official:** Edward Santelli, PRESIDENT
## Practice location
- **Address:** 32-36 HARRISON ST, Johnson City, NY 13790-2122
- **Phone:** (607) 763-6104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2020
- **Other identifiers:** Medicaid 00553397 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1760447692) · Data from the CMS NPPES public registry.