Instar Medical PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INSTAR MEDICAL PC

Practice address

14 Georgetown PL
Smithtown, NY 11787-4912

Phone

(631) 793-8267

Fax

(631) 793-8267

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eric James Feldmann, MD

Title

Medical Director

Phone

(631) 793-8267

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Instar Medical Imaging Doing business as
• Instar Medical PC Doing business as

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1013488972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GEORGETOWN PL",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874912",
            "telephone_number": "631-793-8267",
            "fax_number": "516-825-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GEORGETOWN PL",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874912",
            "telephone_number": "631-793-8267",
            "fax_number": "631-793-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 E Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115805981",
            "country_code": "US",
            "telephone_number": "516-825-6500",
            "fax_number": "516-825-0696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "FELDMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-793-8267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03365166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Instar Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Instar Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Instar Medical PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.