Amichai Joshua Erdfarb
Radiology (Neuroradiology)

Address: 111 E 210th St, Department of Radiology, Bronx, NY 10467-2401
Phone: 7189205506

Amichai Joshua Erdfarb (NPI# 1922395201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922395201
Entity Type Individual
Full Name Amichai Joshua Erdfarb
Credential MD
Gender Male
Practice Address 111 E 210th St
Department of Radiology
Bronx
NY 10467-2401
Practice Telephone 7189205506
Mailing Address 3720 Independence Ave
Apt 3e
Bronx
NY 10463-1452
Mailing Telephone 2034644618
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2011-07-07
Last Update Date 2011-07-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085N0700X Radiology · Neuroradiology Allopathic & Osteopathic Physicians 259995 NY

Physician Overview

NPI 1922395201
PAC ID by PECOS 7113156670
Professional Enrollment ID I20140203000032
Full Name Amichai J Erdfarb
Organization Legal Name GUN HILL MRI PC
Phone Number 7187985449
Gender M
Medical School YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2769378140
Number of Group Practice Members 29
Accepts Medicare Assignment M
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330059 MONTEFIORE MEDICAL CENTER

Office Location

Street Address 111 E 210TH ST
DEPARTMENT OF RADIOLOGY
City BRONX
State NY
Zip Code 10467-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083619373 Caletha Dicks Nurse Anesthetist, Certified Registered 111 E 210th St, Bronx, NY 10467-2401 2005-06-14
1255802583 Sukhdeep Kaur Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-12-16
1114497930 Lance Ian Kortesoja Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-12-05
1568932473 Samantha J Cook Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-12-04
1306316351 Swathi Rao Bolneni Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-12-03
1013487149 Melody Zhang Student in an Organized Health Care Education/Training Program 111 E 210th St, Bronx, NY 10467-2401 2018-12-02
1164992574 Ashley S Kim Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-11-28
1134699507 Nina Mae Horodowicz Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-11-28
1043780794 Darius Orhean Pharmacist 111 E 210th St, Bronx, NY 10467-2401 2018-11-26
1558830950 Ronald David Hershcopf Physician Assistant 111 E 210th St, Bronx, NY 10467-2401 2018-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1760904494 Walkens Desir Student in an Organized Health Care Education/Training Program 111 East 210th Street Bronx, New York, NY 10467 2017-07-14
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
1982125035 Ridin Balakrishnan Student in an Organized Health Care Education/Training Program 111 East 210th Street Bronx, Ny 10467, New York, NY 10467 2017-06-29
1013447341 Grace An Nurse Practitioner 111 E 210th St Fl 2, Bronx, NY 10467 2017-06-19
1710439583 Kj Transportation C Transportation Broker 11 E 213 Sst, Bronx, NY 10467 2016-10-27
1316496128 3210 Webster Ave Prestige Car Service Non-emergency Medical Transport (VAN) 3108 Webster Avenue, Bronx, NY 10467 2016-09-22
1760938062 Gaurav Bhardwaj Student in an Organized Health Care Education/Training Program Montefiore Medical Center 111 East 210th Street, Bronx, NY 10467 2016-08-28
1649628074 Montefiore Medical Center General Acute Care Hospital 110 East 210th St, Bronx, Bronx, NY 10467 2016-05-26
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Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417203951 Peter Lee Radiology 111 E 210th St, Bronx, NY 10467-2401 2012-08-02
1053691808 Asif K Suri Radiology 111 E 210th St, Department of Radiology, Bronx, NY 10467-2401 2011-08-25
1528252749 James J Peters Vamc Radiology 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2007-08-30
1174618391 Sadasivaiah Meduru Radiology 1650 Selwyn Ave, Bronx, NY 10457-7626 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982045845 Reade Andrew De Leacy Radiology 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 2013-07-08
1619215167 Asim Maher Radiology 8342 241st St, Bellerose, NY 11426 2013-01-17
1568727121 Akm Ashfaqur Rahman Radiology 23 Hadley Ct, Pittsford, NY 14534-2838 2012-07-10
1922361666 Ana Marija Franceschi Radiology Hsc Level 4, Room 120 101 Nicolls Road, Stony Brook, NY 11794-0001 2012-06-18
1740554286 Branch Medical, PC Radiology 35 Pinelawn Rd., Suite 112, Melville, NY 11747 2012-03-01
1750685806 Prachi Dubey Radiology 630 W168th Street # 28, New York, NY 10032 2011-01-04
1275850810 Joseph Dobtsis Radiology 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 2010-04-21
1801112339 Anju Dubey Radiology 622 W 168th St # Pb1-301, New York, NY 10032-3720 2010-04-08
1770712754 Joshua Lantos Radiology 525 E 68th Street, Box 141, Department of Radiology, Newyork-presbyterian - Weill Cornell Medical College, New York, NY 10065-4885 2009-07-10
1992949077 Rahul Desikan Radiology 13720 Oak Ave, Flushing, NY 11355-4147 2009-04-21
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City BRONX
Zip Code 10467

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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