Active NPI
Precision Health Inc
- Mobile Radiology Clinic/Center
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 80022153
- 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, 2010
- Organization subpart
- Yes
- Parent organization
- PRECISION HEALTH INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Mobile Radiology Clinic/Center
- Staten Island, NY
- NPI 1558305318
O20031230000448
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.
-
- Mobile Radiology Clinic/Center
- Staten Island, NY
- NPI 1558305318
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1437136579
-
- Cardiovascular Disease Physician
- Washington, DC
- NPI 1871686469
-
- Diagnostic Radiology Physician
- Phoenixville, PA
- NPI 1225016215
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.