NPIMap

Organization Active NPI

Advanced Digital Diagnostics, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Northport, NY
National Provider Identifier
1154510261
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
H98 1269403 76 Issued in NY
Legal business name
ADVANCED DIGITAL DIAGNOSTICS, LLC
Practice address
11 Newbrook LN
East Northport, NY 11731-5230
Phone
(631) 838-8309
Fax
(631) 910-0333
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Steven T Isaacs
Title
President
Phone
(631) 838-8309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X H98 1269403 76 NY Primary

Addresses

Primary practice location

11 Newbrook LN
East Northport, NY 11731-5230

Mailing address

169 Commack Rd Ste H350
Commack, NY 11725-3442
Phone (631) 838-8309

Other identifiers 1

IdentifierTypeStateIssuer
P00641071OtherNYMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000441 NY Part B Supplier - Portable X-Ray Supplier 3870682537 Practice locations: East Northport, 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
Advanced Digital Diagnostics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

169 Commack Rd
Ste H350
Commack, NY 11725

169 Commack Rd
#350
Commack, NY 11725

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1154510261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 COMMACK RD STE H350",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253442",
            "telephone_number": "631-838-8309",
            "fax_number": "631-910-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEWBROOK LN",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315230",
            "telephone_number": "631-838-8309",
            "fax_number": "631-910-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIGITAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-838-8309"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NY",
            "license": "H98 1269403 76",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00641071",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.