UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC
NPI 1912037102
Clinic/Center - Radiology, Mammography in New York, NY

Active since March 06, 2007
200 PARK AVE S, SUITE 1103, NEW YORK, NY 10003(212) 674-0444(212) 477-4163 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Union Square Medical Imaging And Mammography Pc NPPES

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

UNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC (NPI 1912037102) is a healthcare organization registered as a radiology, mammography in New York, New York and active in the NPI registry since March 2007. The organization lists Terrance Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912037102
Entity TypeOrganization
Primary Taxonomy261QR0206X
Legal Business NameUNION SQUARE MEDICAL IMAGING AND MAMMOGRAPHY PC
Location Address200 PARK AVE S, SUITE 1103New York, NY 10003-1503
Mailing Address200 Park Ave S, Suite 1103New York, NY 10003-1503 · (212) 674-0444 · Fax (212) 477-4163
Fax(212) 477-4163
Organization SubpartNo
Authorized OfficialTerrance LeeMedical Director · (212) 674-0444
Enumeration DateMarch 6, 2007
Last NPPES UpdateOctober 27, 2016
✔ NPI 1912037102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0206X
License✔ Licensed in NY · 200740-1
200 PARK AVE S, New York, NY 10003

Other Identifiers 1

Medicare ID-Type Unspecified86B35 WEW111NY

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Union Square Medical Imaging And Mammography Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20050316000779Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Union Square Medical Imaging And Mammography PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Cardiovascular Disease (Cardiology)3
Diagnostic Radiology2
Nurse Practitioner2
Internal Medicine1
Interventional Radiology1
Neurology1

Clinicians, nearest first (10)

Diagnostic Radiology
NPI 1730119777
200 PARK AVE S SUITE 1103
New York, NY 10003
(212) 674-0444
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1831517002
1035 PARK AVE
New York, NY 10028
(212) 987-1000
✔ PECOS2.1 mi
Nurse Practitioner
NPI 1033388111
1 GUSTAVE L LEVY PL MOUNT SINAI MEDICAL CTR NURSING DEPARTMENT BOX#1458
New York, NY 10029
(212) 241-5544
✔ PECOS2.8 mi
Cardiovascular Disease (Cardiology)
NPI 1285845370
437 W 125TH ST
New York, NY 10027
(646) 707-3930
✔ PECOS4.2 mi
Cardiovascular Disease (Cardiology)
NPI 1053350389
464 HUDSON TER SUITE 201
Englewood Cliffs, NJ 07632
(201) 503-0828
✔ PECOS✔ Accepts Medicare8.6 mi
Internal Medicine
NPI 1467482331
625 E FORDHAM RD
Bronx, NY 10458
(718) 933-1900
✔ PECOS✔ Accepts Medicare8.7 mi
Diagnostic Radiology
NPI 1225070121
220 OXFORD DR
Tenafly, NJ 07670
(201) 567-6156
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1073893178
182 S MAIN ST STE 106
New City, NY 10956
(845) 358-4000
✔ PECOS✔ Accepts Medicare27 mi
Cardiovascular Disease (Cardiology)
NPI 1245218619
540 UNION BLVD
West Islip, NY 11795
(631) 669-2555
✔ PECOS✔ Accepts Medicare36 mi
Interventional Radiology
NPI 1235139775
521 ROUTE 111
Hauppauge, NY 11788
(631) 265-9645
✔ PECOS41 mi

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 Union Square Medical Imaging And Mammography PC's NPI number?

The NPI number for Union Square Medical Imaging And Mammography PC is 1912037102. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Union Square Medical Imaging And Mammography PC located?

Union Square Medical Imaging And Mammography PC is located at 200 Park Ave S Suite 1103, New York, NY 10003. The listed phone number is (212) 674-0444.

What is Union Square Medical Imaging And Mammography PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

Is Union Square Medical Imaging And Mammography PC enrolled in Medicare?

Yes. Union Square Medical Imaging And Mammography PC is registered in the Medicare PECOS enrollment system.

When is Union Square Medical Imaging And Mammography PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Union Square Medical Imaging And Mammography PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Union Square Medical Imaging And Mammography 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. The largest specialties are Cardiovascular Disease (Cardiology) (3), Diagnostic Radiology (2) and Nurse Practitioner (2). Of these, 1 practice at this address and 6 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 Union Square Medical Imaging And Mammography PC was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.