Healthcare Provider Details

I. General information

NPI: 1922012368
Provider Name (Legal Business Name): RADIOLOGY IMAGING ASSOCATES OF BROOKLYN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 8TH AVE PET SUITE
BROOKLYN NY
11220-4718
US

IV. Provider business mailing address

4912 HIGBEE AVE NW SUITE #100
CANTON OH
44718-2530
US

V. Phone/Fax

Practice location:
  • Phone: 718-765-2718
  • Fax: 718-283-7735
Mailing address:
  • Phone: 877-688-6122
  • Fax: 800-310-0634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAVIER BELTRAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-283-6157