PRIME DIAGNOSTIC IMAGING CORP. (NPI# 1669684734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669684734 |
| Entity Type | Organization |
| Organization Name | PRIME DIAGNOSTIC IMAGING CORP. |
| Practice Address |
3075 Veterans Memorial Hwy Suite 160 Ronkonkoma NY 11779-7667 |
| Practice Telephone | 6316488860 |
| Practice Fax Number | 6316488859 |
| Mailing Telephone | 6316488860 |
| Mailing Fax Number | 6316488859 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-12-12 |
| Authorized Official Name | STEPHANIE MARIE MOSS (PRESIDENT) |
| Authorized Official Telephone | 6316488860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
171063 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PRIME DIAGNOSTIC IMAGING CORP. | 3075 Veterans Memorial Hwy, Ste 160, Ronkonkoma, Ny 11779 |
| Street Address |
3075 VETERANS MEMORIAL HWY SUITE 160 |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902331614 | Anu Joy | Physical Therapist | 3075 Veterans Memorial Hwy, Suite 101, Ronkonkoma, NY 11779-7667 | 2017-05-01 |
| 1649620709 | Ronkonkoma Chiropractic PC | Chiropractor | 3075 Veterans Memorial Hwy, Ronkonkoma, NY 11779-7667 | 2016-06-20 |
| 1396161691 | Premier Home Health Care Services, Inc. | Registered Nurse | 3075 Veterans Memorial Hwy, Suite 180, Ronkonkoma, NY 11779-7667 | 2014-03-11 |
| 1467715284 | Iron Clad Medical Diagnostic P.C. | Specialist | 3075 Veterans Memorial Hwy, Suite 161, Ronkonkoma, NY 11779-7667 | 2012-06-18 |
| 1013238690 | Neurorays Imaging, P.C. | Internal Medicine | 3075 Veterans Memorial Hwy, Suite 160, Ronkonkoma, NY 11779-7667 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865227 | Total Care Radiology PC | Clinic/Center | 4209 Avenue U, Brooklyn, NY 11234-5121 | 2020-06-16 |
| 1104485176 | Silvergleid Radiology Services, PC | Clinic/Center | 51 W 95th St, New York, NY 10025-6753 | 2019-06-12 |
| 1013488972 | Instar Medical PC | Clinic/Center | 14 Georgetown Pl, Smithtown, NY 11787-4912 | 2018-12-17 |
| 1316457518 | Ab Medical Diagnostics PC | Clinic/Center | 499 Chestnut St Ste 216, Cedarhurst, NY 11516-2242 | 2017-10-03 |
| 1629504501 | New York Society for The Relief of The Ruptured and Crippled | Clinic/Center | 333 Earle Ovington Blvd Ste 106, Hss Long Island Outpatient Center, Uniondale, NY 11553-3645 | 2017-05-11 |
| 1669834297 | Primary Care Choice Medical Testing P.c | Clinic/Center | 211 Richmond St, Brooklyn, NY 11208-1945 | 2016-03-23 |
| 1518322171 | Queens Radiology Reading Services Inc | Clinic/Center | 16020 79th St, Howard Beach, Jamaica, NY 11414-2911 | 2015-12-28 |
| 1114348844 | Valor Network Inc | Clinic/Center | 7 Hemptor Rd, New City, NY 10956-2508 | 2013-12-24 |
| 1356782916 | Inwood Medical Diagnostic, P.C. | Clinic/Center | 629 W 185th St Bsmt, New York, NY 10033-3102 | 2013-07-11 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| Find all providers with the same taxonomy | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
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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.