Organization Active NPI

Zwanger Radiology, PC

  • Diagnostic Radiology Physician
  • Stony Brook, NY
National Provider Identifier
1124335278
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
145241 Issued in NY
Legal business name
ZWANGER RADIOLOGY, PC
Practice address
2500 Nesconset Hwy
BLDG 15
Stony Brook, NY 11790-2555
Phone
(631) 751-2900
Fax
(631) 751-2051
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Ms. Patricia M Forte
Title
Director of Contracting/Credentiali
Phone
(631) 930-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 145241 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
BLDG 15
Stony Brook, NY 11790-2555

Mailing address

2500 Nesconset Hwy
BLDG 15
Stony Brook, NY 11790-2555
Phone (631) 751-2900

National Provider Directory

National Provider Directory

Locations

150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355

2500 Nesconset Hwy
#15
Stony Brook, NY 11790
Phone (631) 751-2900

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1124335278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 15",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-2900",
            "fax_number": "631-751-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 15",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-2900",
            "fax_number": "631-751-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZWANGER RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING/CREDENTIALI",
        "authorized_official_telephone_number": "631-930-9422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "145241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.