South Shore Nuclear Diagnostics

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTH SHORE NUCLEAR DIAGNOSTICS

Practice address

30 Hempstead Ave
Suite 246
Rockville Centre, NY 11570-4033

Phone

(516) 764-5051

Fax

(516) 564-5113

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Edward J Grace

Title

Director of Billing

Phone

(610) 993-1640

Specialties & licenses 1

Addresses

Tax ID family

South Shore Nuclear Diagnostics3 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.

• South Shore Nuclear Diagnostics, PC

  • Radiology Clinic/Center
  • Rockville Centre, NY
  • NPI 1912976119
  NPD tax ID
• South Shore Nuclear Diagnostics@Nassau

  • Radiology Clinic/Center
  • Oceanside, NY
  • NPI 1740381607
  NPD tax ID

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154300259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LEOPARD RD",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011552",
            "telephone_number": "610-993-1640",
            "fax_number": "610-993-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 246",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-5051",
            "fax_number": "516-564-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE NUCLEAR DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "610-993-1640"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Nassau Oncology Practice, PC
• South Shore Acupuncture
• South Shore Cosmetic Surgeons LLC
• South Shore Heart Associates PC
• South Shore Hematology-Oncology Associates, P.C.
• South Shore Nuclear Diagnostics, PC
• South Shore Oral Surgery Assoc PC
• South Shore Womens Medical Assoicates, LLC
• Southshore Otolaryngology, PC
• Amadou Younoussa Sow, LMT

• Radiology Clinic/Center in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.