# NORTHERN BOULEVARD IMAGING, MDPC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Queens Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013994078
- **Authorized official:** DR. ALLEN ROTHPEARL MD (SENIOR PARTNER)
- **Authorized official phone:** (631) 517-8006

## Contact information

- **Practice address:** 16425 NORTHERN BLVD, FLUSHING, NY 11358-2646
- **Practice address phone:** (718) 358-4075
- **Practice address fax:** (718) 358-4076
- **Mailing address:** PO BOX 18005, HAUPPAUGE, NY 11788-8805
- **Mailing address phone:** (631) 517-8000
- **Mailing address fax:** (631) 893-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 09/14/2007