NORTHEAST ADVANCED IMAGING – NPI #1700131604
Radiology

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

NORTHEAST ADVANCED IMAGING is a radiologist located in RENSSELAER, NY. NPPES has assigned the NPI number 1700131604 to NORTHEAST ADVANCED IMAGING on July 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHEAST ADVANCED IMAGING” is a dba name, the actual legal business name for this organization is PRIME CARE PHYSICIANS, PLLC. 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 Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 NORTHEAST ADVANCED IMAGING below.

NPI Profile for
PRIME CARE PHYSICIANS, PLLC

NPI Number
1700131604
Enumeration Date

(about 14 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
PRIME CARE PHYSICIANS, PLLC
Doing Business As (dba): NORTHEAST ADVANCED IMAGING
Primary location
279 TROY RD
ROUTE 4
RENSSELAER, NY 12144-9499
Phone: (518) 880-6300 Fax:
Mailing address
4 ATRIUM DR
SUITE 100
ALBANY, NY 12205-1441
Phone: (518) 435-2740 Fax: (518) 649-4025
Organization Subpart
No
Authorized Official
MICHAEL WHALEN
DIRECTOR OF ADMINISTRATION
Phone: (518) 435-2704
Updated
Identifiers

Identifiers for NORTHEAST ADVANCED IMAGING

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
MEDICAIDNY02616571
MEDICAIDVT1011152
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.

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.