Organization Active NPI

Precision Health Inc

  • Mobile Radiology Clinic/Center
  • Staten Island, NY
National Provider Identifier
1053574624
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
80022153 Issued in NY
Legal business name
PRECISION HEALTH INC
Practice address
236 Richmond Valley Rd
Staten Island, NY 10309-2606
Phone
(800) 972-9392
Fax
(718) 984-3521
NPI assigned
Jul 3, 2008
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PRECISION HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Mr. Uri Lerner
Title
President
Phone
(718) 984-4630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 0211997 NJ
Mobile Radiology Clinic/Center 261QR0208X 80022153 NY Primary

Addresses

Primary practice location

236 Richmond Valley Rd
Staten Island, NY 10309-2606

Mailing address

100 Saratoga Village Blvd
Suite 43
Ballston Spa, NY 12020-3737
Phone (518) 899-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031230000448 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3678471471 1 other NPI on this enrollment
Practice locations: Staten Island, NY
O20040304000295 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3678471471 Practice locations: Howell, NJ
O20170223001380 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3678471471 Practice locations: Langhorne, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Precision Health Inc

Locations

1781 Highland Ave
Ste 206
Cheshire, CT 06410
Phone (800) 972-9392

400 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 239-7600

55 Morris St
SPG HLS
Morristown, NJ 07960
Phone (201) 998-8179

1135 Hamilton St
Somerset, NJ 08873
Phone (201) 998-8179

419 Northfield Ave
West Orange, NJ 07052
Phone (732) 684-3465

100 Saratoga Village Blvd
Ste 43
Malta, NY 12020

32 E 31st St
New York, NY 10016
Phone (212) 448-0004

101 Tyrellan Ave
Ste 140
Staten Island, NY 10309
Phone (800) 497-2939

1233 Monroe Ave
Dunmore, PA 18509
Phone (570) 346-5115

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1053574624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD",
            "address_2": "SUITE 43",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203737",
            "telephone_number": "518-899-2214",
            "fax_number": "518-899-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092606",
            "telephone_number": "800-972-9392",
            "fax_number": "718-984-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION HEALTH INC",
        "enumeration_date": "2008-07-03",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-984-4630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "0211997",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NY",
            "license": "80022153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.