MOSHOLU PARK RADIOLOGY PC – NPI #1710996509
Radiology

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.

Health Care Provider Taxonomy Code for Radiology

MOSHOLU PARK RADIOLOGY PC is a radiologist located in BRONX, NY. NPPES has assigned the NPI number 1710996509 to MOSHOLU PARK RADIOLOGY PC on August 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085N0904X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Nuclear Radiology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOSHOLU PARK RADIOLOGY PC below.

NPI Profile for
MOSHOLU PARK RADIOLOGY PC

NPI Number
1710996509
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOSHOLU PARK RADIOLOGY PC
Primary location
MOSHOLU PARK RADIOLOGY PC
3130 GRAND CONCOURSE STE 1P
BRONX, NY 10458
Phone: (718) 933-6969 Fax: (718) 933-6970
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDRESITO PACIS
PRESIDENT
Phone: (718) 933-6969
Updated
Identifiers

Identifiers for MOSHOLU PARK RADIOLOGY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY00234428
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085N0904X
- Radiology / Nuclear Radiology (Primary)		 NY 1252131
2085U0001X
- Radiology / Diagnostic Ultrasound		 NY 1252131
2085B0100X
- Radiology / Body Imaging		 NY 1252131

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.