Organization Active NPI

Horizon Diagnostic Radiology PLLC

  • Vascular & Interventional Radiology Physician
  • Smithtown, NY
National Provider Identifier
1194487389
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
HORIZON DIAGNOSTIC RADIOLOGY PLLC
Practice address
738 Smithtown Byp Ste 204
Smithtown, NY 11787-5024
Phone
(718) 269-1557
Fax
(718) 228-8629
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Ammar Taha, MD
Title
Owner
Phone
(718) 269-1557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

738 Smithtown Byp Ste 204
Smithtown, NY 11787-5024

Mailing address

738 Smithtown Byp Ste 204
Smithtown, NY 11787-5024
Phone (718) 269-1557

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1194487389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 SMITHTOWN BYP STE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875024",
            "telephone_number": "718-269-1557",
            "fax_number": "718-228-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 SMITHTOWN BYP STE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875024",
            "telephone_number": "718-269-1557",
            "fax_number": "718-228-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DIAGNOSTIC RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-269-1557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.