Active NPI
Advanced Digital Diagnostics, LLC
- Sonography Radiologic Technologist
- East Northport, NY
National Provider Identifier
1154582153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 51023786
- 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
- Jun 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Isaacs
- Title
- President
- Phone
- (631) 838-8309
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 51023786 | NY | |
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | H98 1269403 76 | NY | |
| Sonography Radiologic Technologist | 2471S1302X | 51023786 | NY | Primary |
| Sonography Radiologic Technologist | 2471S1302X | H98 1269403 76 | NY | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 51023786 | NY | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | H98 1269403 76 | NY |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00641071 | Other | NY | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080215000588 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3870682537 | Practice locations: Commack, NY |
| O20080731000026 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3870682537 | Practice locations: Commack, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- East Northport, NY
- NPI 1154510261
3870682537
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Digital Diagnostics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- East Northport, NY
- NPI 1154510261
Locations
169 Commack Rd
#H350
Commack, NY 11725
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- West Newbury, MA
- NPI 1013946094
-
- Diagnostic Radiology Physician
- Lansing, MI
- NPI 1508800293
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1578539557
-
- Vascular & Interventional Radiology Physician
- Lake Zurich, IL
- NPI 1093707457
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1275869729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1154582153",
"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": "2008-06-23",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "ISAACS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-838-8309",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "NY",
"license": "51023786",
"primary": false
},
{
"code": "246XS1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "NY",
"license": "H98 1269403 76",
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "NY",
"license": "51023786",
"primary": true
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "NY",
"license": "H98 1269403 76",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "NY",
"license": "51023786",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "NY",
"license": "H98 1269403 76",
"primary": false
}
],
"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.