OrganizationActive
Radiance Medicine LLC
NPI 1124632039 · Vascular & Interventional Radiology Physician · Brooklyn, NY
Provider details
- NPI number
- 1124632039
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Yam, MD(516) 851-4211
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
95 Norman Ave
Brooklyn, NY 11222-2937
Phone: (516) 851-4211
Street-level locationGet directions
Mailing address
168 Overlook Ter
Roslyn Heights, NY 11577-1438
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.