SEAWAY RADIOLOGY PC
NPI 1124012018
Radiology - Diagnostic Radiology in Alexandria Bay, NY

NPI Status: Active since September 07, 2005

Contact Information

4 FULLER ST
ALEXANDRIA BAY, NY
ZIP 13607
Phone: (315) 482-2511

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  • Organization
  • Radiology
  • Diagnostic Radiology

About SEAWAY RADIOLOGY PC

This page provides the complete NPI Profile along with additional information for Seaway Radiology Pc, a provider established in Alexandria Bay, New York operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1124012018 assigned on September 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 198556 (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ali M Gharagozloo M.d. (Medical Director Of Group)

NPI
1124012018
Provider Name
SEAWAY RADIOLOGY PC
Entity Type
Organization
Location Address
4 FULLER ST ALEXANDRIA BAY, NY 13607
Location Phone
(315) 482-2511
Mailing Address
27 DOCKSIDE DR # 27 MORRISTOWN, NY 13664
Mailing Phone
(315) 482-2511
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2005
Last Update Date
04-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
198556
License State
NY
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ALI M GHARAGOZLOO M.D.

Authorized Official Title
MEDICAL DIRECTOR OF GROUP
Authorized Official Phone
(315) 393-1215

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02728623MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124012018
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214401402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 4 + 0 + 2 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1124012018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457357725 TARA LYN AMATO PT
Individual
Physical Therapist4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1116
1265438824 CYNTHIA LEE SIMPSON NP
Individual
Nurse Practitioner4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-2511
1598737637 GERALD AMATUCCI MD
Individual
Internal Medicine4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1111
1962461343 HARRIET L BURRIS
Individual
Emergency Medicine4 FULLER ST RIVER HOSPITAL
ALEXANDRIA BAY, NY 13607
(315) 482-1111
1306016753DR. MAHREEN ABDUL RAZZAQ M.D.
Individual
Family Medicine4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1100
1629232632DR. WARREN T MEZGER OD
Individual
Optometrist4 FULLER ST RIVER HOSPITAL
ALEXANDRIA BAY, NY 13607
(941) 661-2694
1336419688 JODEY J MCAVOY
Individual
Physical Therapist4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-2511
1699103531 MICHAEL HOHS
Individual
Counselor (Mental Health)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-2511
1528445863 SUSAN STEWART
Individual
Social Worker (Clinical)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-2511
1427056266 RICHARD F CORCORAN PA
Individual
Physician Assistant (Medical)4 FULLER ST RIVER HOSPITAL
ALEXANDRIA BAY, NY 13607
(315) 482-1111
1891779849 JAMES STEVEN DEMER MD
Individual
Psychiatry & Neurology (Psychiatry)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-2511
1962886812 PATRICIA DESJARLAIS PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1230
1154782332MRS. MELANIE MULLINS MHC-P
Individual
Counselor (Mental Health)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1205
1376904649MS. KIMBERLY ANN KERNEHAN MS-CAT, CASAC
Individual
Counselor (Addiction (Substance Use Disorder))4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1290
1710348933 DESTONIE DAWN CORMIER
Individual
Social Worker4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1256
1083076780 TARA COLE
Individual
Social Worker4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1245
1891922027DR. WESLEY LYLE BABER M.D.
Individual
Emergency Medicine4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1239
1134673619 JADE KOOL LMSW
Individual
Social Worker4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1277
1114377413MISS MEREDITH A LIZOTTE FNP
Individual
Nurse Practitioner (Family)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-2511
1225524739 NATALIE ANNE SHEA LMSW, CASAC-T
Individual
Social Worker (Clinical)4 FULLER ST
ALEXANDRIA BAY, NY 13607
(315) 482-1127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124012018, enumerated in the NPI registry as an "organization" on September 07, 2005

The provider is located at 4 Fuller St Alexandria Bay, Ny 13607 and the phone number is (315) 482-2511

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.