SPECIALTY PORTABLE X-RAY INC (NPI# 1760659585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760659585 |
| Entity Type | Organization |
| Organization Name | SPECIALTY PORTABLE X-RAY INC |
| Practice Address |
99 Jericho Tpke Suite 204 Jericho NY 11753-1015 |
| Practice Telephone | 5164323800 |
| Practice Fax Number | 5168973915 |
| Mailing Telephone | 5164323800 |
| Mailing Fax Number | 5168973915 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | MRS. PATRICIA FOWLER (OWNER) |
| Authorized Official Telephone | 5164323800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 29021253 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBS | 97Z311 | 01 |
| NY | 02849241 | 05 |
| Street Address |
99 JERICHO TPKE SUITE 204 |
| City | JERICHO |
| State | NY |
| Zip Code | 11753-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392468 | Marco Luigi Palermo | Physical Therapist | 99 Jericho Tpke, Ste 100, Jericho, NY 11753-1015 | 2006-05-13 |
| 1134767932 | Nestor Luis Cora | Massage Therapist | 99 Jericho Tpke, Jericho, NY 11753-1073 | 2019-12-12 |
| 1003179359 | Men's Medical New York, P.C. | General Practice | 99 Jericho Tpke, Suite 202, Jericho, NY 11753-1073 | 2012-06-21 |
| 1902178114 | Heather White | Counselor | 99 Jericho Tpke, Suite 300 A, Jericho, NY 11753-1073 | 2012-02-02 |
| 1689861734 | Adam J Schneider Mdpc | Psychiatry & Neurology | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1073 | 2007-10-02 |
| 1275758526 | Lawrence A. Smiley | General Practice | 99 Jericho Tpke, Suite 202, Jericho, NY 11753-1073 | 2007-04-13 |
| 1730210592 | Palermo Physical Therapy Pllc | Clinic/Center | 99 Jericho Tpke, Suite 305, Jericho, NY 11753-1073 | 2007-03-07 |
| 1952453722 | Frieda Neuschotz | Pediatrics | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1073 | 2007-01-18 |
| 1457432171 | Scott Phillip Bloom | Family Medicine | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1073 | 2006-10-18 |
| 1295824530 | Scott Bloom Md PC | Family Medicine | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1073 | 2006-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
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| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215295126 | New Jersey Portable X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 99 Jericho Tpke Ste 204, Jericho, NY 11753-1015 | 2012-04-27 |
| 1457439606 | Specialty Portable X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 99 Jericho Turnpike, Jericho, NY 11753-1015 | 2006-11-02 |
| 1679900427 | Specialty Portable X-ray Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 99 Jericho Turnpike, Suite 204, Jericho, NY 11753-1015 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177962 | Sinai Portable X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 63187 Alderton St Bsmt, Rego Park, NY 11374-3919 | 2020-06-01 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1417356858 | A 1 Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 165 Classon Ave, Brooklyn, NY 11205-2636 | 2014-08-21 |
| 1740629062 | Take Control of Your Health Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1416 Ackerson Blvd, Bay Shore, NY 11706-3845 | 2013-06-19 |
| 1245571678 | Noa Diagnostics of Ny LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1186 Broadway, Hewlett, NY 11557-2322 | 2013-03-11 |
| 1699023887 | Optimum Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 317 Eastwood Rd, Woodmere, NY 11598-1635 | 2012-08-21 |
| 1982981890 | A1 Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1160 60th St, Brooklyn, NY 11219-4924 | 2011-11-05 |
| 1760795439 | All State Diagnostics Management Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 363 Route 111 Ste Ll4a, Smithtown, NY 11787-4756 | 2010-07-22 |
| 1528390143 | Mobile Cardiovascular Systems, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 171 Scenic Dr, Mohegan Lake, NY 10547-1254 | 2010-02-07 |
| 1760615298 | Exceptional Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 41 Point St Suite 1b, Yonkers, NY 10701 | 2009-09-01 |
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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.