MEDICARE: NATIONAL IMAGING P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085N0700X	Neuroradiology Physician
2	2085N0904X	Nuclear Radiology Physician
3	2085R0202X	Diagnostic Radiology Physician
4	2085U0001X	Diagnostic Ultrasound Physician
5	2085B0100X	Body Imaging Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10228101	OTHER	PA	AMERIGROUP
2	0327002000	OTHER	PA	INDEPENDANCE BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	095176	OTHER	PA	BCBS PA
5	1097153	OTHER	PA	KEYSTONE

General Provider Information

NPI Number	:	1164536827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL IMAGING P.C.

Provider Business Mailing Address
First Line	:	PO BOX 768
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-0025
Country	:	US
Telephone Number	:	410-360-2233
Fax Number	:	410-360-2234

Provider Business Practice Location Address
First Line	:	1903 S BROAD ST # 05
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-2216
Country	:	US
Telephone Number	:	215-463-1825
Fax Number	:	215-463-1828

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MAURY L. ROSENBERG
Credential	:
Telephone Number	:	215-564-2800

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	10/21/2010

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Directions to “NATIONAL IMAGING P.C. ” Practice Location

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