Active NPI
Alexandra B Perkins, M.D.
- Diagnostic Radiology Physician
- Lake Grove, NY
National Provider Identifier
1033169404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 206296
- Practice address
- 2780 Middle Country Rd
Suite 210
Lake Grove, NY 11755-2124 - Phone
- (631) 588-4500
- Fax
- (631) 588-4595
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 206296 | NY | Primary |
Addresses
Primary practice location
2780 Middle Country Rd
Suite 210
Lake Grove, NY 11755-2124
Mailing address
2780 Middle Country Rd
Suite 210
Lake Grove, NY 11755-2124
Phone (631) 588-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Boston University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2780 Middle Country Rd
Suite 210
Lake Grove, NY 11755-2120
Phone (631) 588-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206296 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Suffolk Breast Imaging PC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Port Interventional Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Health Services, PC | Diagnostic Radiology | Past | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Past | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Past | Accepting new patients | |
| Port Radiation Therapy PC | Diagnostic Radiology | Past | Accepting new patients |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
2780 Middle Country Rd
Ste 210
Lake Grove, NY 11755
Phone (631) 588-4500
203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lake Grove, NY
- NPI 1013027283
-
- Medical Specialty Clinic/Center
- Tonasket, WA
- NPI 1750443834
-
- Rural Health Clinic/Center
- Tonasket, WA
- NPI 1811555931
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1013147313
-
- Diagnostic Radiology Physician
- Port Jefferson, NY
- NPI 1164434924
-
- Diagnostic Radiology Physician
- Port Jefferson, NY
- NPI 1356412035
-
- Diagnostic Radiology Physician
- Smithtown, NY
- NPI 1558386219
-
- Medicare Defined Swing Bed Hospital Unit
- Tonasket, WA
- NPI 1134281314
-
- Critical Access Hospital
- Tonasket, WA
- NPI 1164580700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1033169404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 MIDDLE COUNTRY RD",
"address_2": "SUITE 210",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552124",
"telephone_number": "631-588-4500",
"fax_number": "631-588-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 MIDDLE COUNTRY RD",
"address_2": "SUITE 210",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552124",
"telephone_number": "631-588-4500",
"fax_number": "631-588-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "ALEXANDRA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "206296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.