Organization Active NPI

Neurorays Imaging, P.C.

  • Diagnostic Radiology Physician
  • Ronkonkoma, NY
National Provider Identifier
1013238690
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEURORAYS IMAGING, P.C.
Practice address
3075 Veterans Memorial Hwy
Suite 160
Ronkonkoma, NY 11779-7667
Phone
(631) 648-8860
Fax
(631) 648-8859
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Mark J. Lodespoto, M.D.
Title
President
Phone
(631) 648-8860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3075 Veterans Memorial Hwy
Suite 160
Ronkonkoma, NY 11779-7667

Mailing address

3075 Veterans Memorial Hwy
Suite 160
Ronkonkoma, NY 11779-7667
Phone (631) 648-8860

National Provider Directory

National Provider Directory

Locations

3075 Veterans Memorial Hwy
Ste 160
Ronkonkoma, NY 11779
Phone (631) 278-2637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1013238690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 160",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797667",
            "telephone_number": "631-648-8860",
            "fax_number": "631-648-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 160",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797667",
            "telephone_number": "631-648-8860",
            "fax_number": "631-648-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORAYS IMAGING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-648-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.