Patchogue Open MRI, PC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PATCHOGUE OPEN MRI, PC

Doing business as

mainstreet medical imaging

Practice address

475 E Main St
Suite 100
Patchogue, NY 11772-3121

Phone

(631) 447-2700

NPI assigned

Oct 9, 2006

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Degradi

Title

Administrator

Phone

(631) 447-2700

Specialties & licenses 1

Addresses

Other names 1

• mainstreet medical imaging Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R Payne, M.D.

  • Specialist
  • New York, NY
  • NPI 1720084205
  NPD

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1174610323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-447-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-447-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE OPEN MRI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DEGRADI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-447-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mainstreet medical imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patchogue Diagnostic Radiology ,PC
• Patchogue Family Medical Care, PC
• Patchogue Fire Dept Ambulance Co Inc
• Patchogue Medical Group LLP
• Patchogue Medical Services, PC
• Patchogue Pharmacy, Inc (SaluMed Pharmacy Patchogue)
• Patchogue Physical Therapy PC
• Patchogue Supermarkets LLC
• Patchogue Transportation Corp.
• Patchogue Urgent Care, P.C.

• Radiology Clinic/Center in Patchogue, NY
• Providers in Patchogue, 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 Feb 26, 2008; 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.