New York Home X-Ray LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

923491 Issued in NY

Legal business name

NEW YORK HOME X-RAY LLC

Practice address

527 Route 22 Ste 4
Pawling, NY 12564-1218

Phone

(845) 289-0103

Fax

(845) 855-1010

NPI assigned

Nov 9, 2006

Last updated

May 19, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keith Reich

Title

Vice President

Phone

(845) 289-0103

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003987439. Details of each certification follow.

• CCN 33X0009882 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 33X0009882

Legal name

NEW YORK HOME X-RAY, LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Nov 19, 2004

Last certification

Dec 11, 2018

Ownership / control type

Corporation

Facility address

527 Route 22, Ste 4
Pawling, NY 12564

Tax ID family

New York Home X-Ray LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New York Home Xray,LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Belmar, NJ
  • NPI 1578920161
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvette D. Bailey, M.D.

  • Diagnostic Radiology Physician
  • Avon, CT
  • NPI 1528170198
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1003987439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ROUTE 22 STE 4",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125641218",
            "telephone_number": "845-289-0103",
            "fax_number": "845-855-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 ROUTE 22 STE 4",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125641218",
            "telephone_number": "845-289-0103",
            "fax_number": "845-855-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK HOME X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-289-0103"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "NY",
            "license": "923491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02703024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Melissa Mohammed, FNP-BC
• Callie Nora Molloy
• Sharnee Morales-Kelly, LCSW
• Mark L Nevid, DDS
• New York Home Ultrasound LLC
• Rubina Nitta
• Anthony Frank Pagliaro, R.PH.
• Trisha Constance Pagliucajohnson, MSED. TSHH
• Salvatore A Paratore, D.C.
• Pawling Central Schools (Pawling Central School District)

• Radiologic Technologist in Pawling, NY
• Providers in Pawling, NY by specialty
• Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.