OrganizationActive
Innovative Mr Imaging, PC
NPI 1265635015 · Diagnostic Radiology Physician · New York, NY
Provider details
- NPI number
- 1265635015
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Goldberg, Administrator(516) 369-8272
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5000 Broadway
New York, NY 10034-1602
Phone: (718) 815-2002
Fax: (718) 815-3003
Street-level locationGet directions
Mailing address
Po Box 30271
Staten Island, NY 10303-0271
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.