PARKWAY IMAGING & DIAGNOSTIC PC (NPI# 1831459684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831459684 |
| Entity Type | Organization |
| Organization Name | PARKWAY IMAGING & DIAGNOSTIC PC |
| Practice Address |
450 Waverly Ave Patchogue NY 11772-1555 |
| Mailing Address |
400 Post Ave Suite 200 Westbury NY 11590-2289 |
| Practice Telephone | 5166209510 |
| Mailing Telephone | 5166209510 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | ALLEN ROTHPEARL (CEO) |
| Authorized Official Telephone | 5166209510 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NY | Allopathic & Osteopathic Physicians |
| Street Address |
450 WAVERLY AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962444869 | Cathy Coleman | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-06-12 |
| 1831720945 | Faroqui Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1477184679 | Singh's Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2, Suite 1, Patchogue, NY 11772 | 2020-01-28 |
| 1578194783 | Stambler Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1164984498 | Grace Mroz Np In Psychiatry Pllc | Psychiatry & Neurology | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772 | 2019-04-04 |
| 1578004750 | John Mroz | Nurse Practitioner | 450 Waverly Ave, Suite 11, Patchogue, NY 11772-1555 | 2017-03-20 |
| 1437596434 | Patchogue Diagnostic Radiology,pc | Specialist | 450 Waverly Ave, Building 2, Patchogue, NY 11772-1555 | 2013-05-30 |
| 1013202944 | Laura Anne Van Schaick-harman | Psychologist | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772-1555 | 2011-06-20 |
| 1790084275 | Jenna Ann Mastromarino | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-03-23 |
| 1285930347 | Annette Mahoney Cross | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| 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 |
|---|---|---|---|---|
| 1689101875 | Main Street Medical Imaging, PC | Radiology | 239 E Main St Ste A, Patchogue, NY 11772-3105 | 2017-05-18 |
| 1114900925 | Bonnie Rosen | Radiology | 77 Medford Ave, Patchogue, NY 11772-1281 | 2005-11-25 |
| 1326021163 | David Weltman | Radiology | 101 Hospital Rd., Patchogue, NY 11772-0000 | 2005-11-25 |
| 1740758382 | Brianna Salvia | Radiology | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2018-11-12 |
| 1528341203 | Eric Fabian Greif | Radiology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2011-09-20 |
| 1356413785 | Victor Mandanas | Radiology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-11-14 |
| 1952314650 | Frank Peter Lombardo | Radiology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-08-14 |
| 1285659649 | Hamid M Alam | Radiology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-07-13 |
| 1417928060 | Arlene Sussman | Radiology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-01-31 |
| 1770566580 | Stephen Robinson | Radiology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2005-11-25 |
| Find all providers in PATCHOGUE | ||||
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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.