Mercy Medical Center
Organization Active NPI Diagnostic Radiology Physician · Rockville Centre, NY
NPI 1124062369 · NPPES record last updated Dec 21, 2007
Key facts
- NPI
- 1124062369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- MERCY MEDICAL CENTER
- Practice address
- 1000 N. Village Avenue
Rockville Centre, NY 11571 - Phone
- (516) 705-1353
- Fax
- (516) 705-3575
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen Trapani
- Title
- V.P. Finance
- Phone
- (516) 705-1353
Other NPIs on the same Medicare enrollment 4
Practitioners 135
-
Azza Bakkar, MD
-
Eden Bessaleli, PA
-
Paul Burke, M.D.
-
Rebecca Colgan, PA-C
-
Madison Grace Dimattei, PA-C
-
Robert Francis Felte III, M.D.
-
Donna Franco, R-PA.C
-
Stephanie Guarin, PA-C
-
Sang Myung Han, MD
-
Erum Hashmi, M.D
-
Hai Hoang, MD
-
Jennifer Iadevaio, PA-C
-
Christy Janes, PHYSICIAN ASSISTANT
-
Jaison Medayil, DO
-
Samantha Mary Milano, PA-C
-
Sarah Desiree Pelcher, PA-C
-
Eva Marina Pilchman, RPA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040210000431 | NY | Part B Supplier - Clinic/Group Practice | 4082518006 |
Receives reassigned benefits from 319 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bethpage, NY; Garden City, NY; Rockville Centre, NY; Smithtown, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1000 N. Village Avenue
Rockville Centre, NY 11571
Mailing address
P.O. Box 798
Rockville Centre, NY 11570
Phone (516) 705-1353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI0406 | Other | NY | RAILROAD MEDICARE |
| CH2506 | Other | NY | RAILROAD MEDICARE |
Other names
- Mercy Medical Center - Radiology
Other providers in Rockville Centre, NY
- Memorial Sloan-Kettering Cancer Center at St Francis Mercy
- Sarah Mendez
- Mercy Dental LLC
- Mercy Internal Medicine PC
- Mercy Medical Center
- Mercy Medical Center
- Mercy Medical Center
- Mercy Medical Center
- Mercy Medical Center
- Mercy Medical Center
All providers in Rockville Centre, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.