MARINE PARK RADIOLOGY PC – NPI #1053362699
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

MARINE PARK RADIOLOGY PC is a radiologist located in BROOKLYN, NY. NPPES has assigned the NPI number 1053362699 to MARINE PARK RADIOLOGY PC on May 15, 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Nov 04, 2024. 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 MARINE PARK RADIOLOGY PC below.

NPI Profile for
MARINE PARK RADIOLOGY PC

NPI Number
1053362699
Enumeration Date

(more than 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
MARINE PARK RADIOLOGY PC
Primary location
2270 KIMBALL STREET
STE 102
BROOKLYN, NY 11234
Phone: (718) 253-6616 Fax: (718) 253-7059
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HAROLD TANENBAUM
MEDICAL DIRECTOR
Phone: (718) 253-6616
Updated
Identifiers

Identifiers for MARINE 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
medicaidNY02358643
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
2085U0001X
- Radiology / Diagnostic Ultrasound
2085N0700X
- Radiology / Neuroradiology

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.