NPIMap

Organization Active NPI

Stat Portable X-Ray Inc

  • Sonography Radiologic Technologist
  • Oakland Gardens, NY
National Provider Identifier
1083871248
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
H98120450676 Issued in NY
Legal business name
STAT PORTABLE X-RAY INC
Practice address
21118 Union Tpke
Oakland Gardens, NY 11364-3241
Phone
(718) 217-8000
Fax
(718) 217-5485
NPI assigned
May 16, 2008
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Mr. Alexander Platschek
Title
Vice President
Phone
(718) 217-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X H981204506 76 NY
Sonography Radiologic Technologist 2471S1302X H98120450676 NY Primary

Addresses

Primary practice location

21118 Union Tpke
Oakland Gardens, NY 11364-3241

Mailing address

21118 Union Tpke
Bayside, NY 11364-3241
Phone (718) 217-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051207000043 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7416986773 Practice locations: Bayside, NY; Oakland Gardens, NY

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Stat Portable X-Ray Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1083871248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21118 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643241",
            "telephone_number": "718-217-8000",
            "fax_number": "718-217-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21118 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643241",
            "telephone_number": "718-217-8000",
            "fax_number": "718-217-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT PORTABLE X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "PLATSCHEK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-217-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "NY",
            "license": "H981204506 76",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NY",
            "license": "H98120450676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.