MID-ISLAND MEDICAL IMAGING, P.C. (NPI# 1396857843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396857843 |
| Entity Type | Organization |
| Organization Name | MID-ISLAND MEDICAL IMAGING, P.C. |
| Practice Address |
1643c Route 112 Medford NY 11763 |
| Practice Telephone | 6317581800 |
| Practice Fax Number | 6317588029 |
| Mailing Telephone | 6317581800 |
| Mailing Fax Number | 6317588029 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | ALEXANDRA B PERKINS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6317581800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
51016723 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1643C ROUTE 112 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765234 | Jeff Velez | Radiology | 64 Buzzells Ln, Medford, MA 02155-5932 | 2009-04-03 |
| 1164523312 | Paul Garrett | Radiology | 18 Fairview Rd, Medford, NJ 08055-9116 | 2006-09-26 |
| 1558372706 | Sammy U Rehman | Radiology | 135 South Gibson Street, Medford, WI 54451-1622 | 2006-08-11 |
| 1336187608 | Hugh N Collier | Radiology | Lawrence Mem. Hospital, Dept. of Radiology, Medford, MA 02158 | 2006-06-02 |
| 1487647905 | James R Hills | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2005-08-30 |
| 1679825400 | Nathan Thomas Mortensen | Radiology | 842 E Main St, Medford, OR 97504 | 2012-10-03 |
| 1598081028 | Rahim Fazel | Radiology | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2010-04-08 |
| 1750525671 | Joseph Chisung Kim | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2009-04-22 |
| 1952543373 | Zachary Rice Heeter | Radiology | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2009-03-31 |
| 1255505368 | Brett Madison Young | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2008-04-18 |
| Find all providers in MEDFORD | ||||
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| 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.