| John Amodio, MD | |
|
560 1st Ave, New York, NY 10016-6402 | |
| (212) 263-0050 | |
| (212) 263-0009 |
| Full Name | John Amodio |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 560 1st Ave, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164486668 | NPI | - | NPPES |
| 00834015 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 146767 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Maimonides Medical Center - Mmc Radiology Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811948284 PECOS PAC ID: 1456241447 Enrollment ID: O20040315001589 |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | University Physicians Of Brooklyn, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506271 PECOS PAC ID: 0749192284 Enrollment ID: O20040401000120 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
| Mailing Address | Practice Location Address |
|---|---|
| John Amodio, MD 17 Central Dr, Glen Head, NY 11545-1105 Ph: (917) 812-5105 | John Amodio, MD 560 1st Ave, New York, NY 10016-6402 Ph: (212) 263-0050 |
Dr. Vincent Graziano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 W 11th St, Apt 1a, New York, NY 10011 Phone: 646-407-2044 | |
Dr. Ankur Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 226 E 29th St, Apt 5d, New York, NY 10016 Phone: 646-621-7240 Fax: 718-343-7463 | |
Dr. Cyril Varghese, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 506 Lenox Ave, New York, NY 10037 Phone: 844-692-4692 | |
Dr. Stephen P Reis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Columbia University Department Of Radiology, 622 West 168th Street Pb-1-301, New York, NY 10032 Phone: 212-305-1948 | |
Dr. Matthew Chiarello, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5506 | |
Daniel Kadosh, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 W 168th St, New York, NY 10032 Phone: 212-305-1948 | |
Dr. Patrick Colin Malloy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, Radiology Service, New York, NY 10010 Phone: 212-686-7500 |