Organization Active NPI

South Shore Magnetic Resonance Imaging Associates PC

  • Specialist
  • Amityville, NY
National Provider Identifier
1194736199
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTH SHORE MAGNETIC RESONANCE IMAGING ASSOCIATES PC
Practice address
81 Louden Ave
Amityville, NY 11701-2736
Phone
(631) 789-7000
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Dr. Amarjit Singh, MD
Title
Owner
Phone
(631) 789-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

81 Louden Ave
Amityville, NY 11701-2736

Mailing address

81 Louden Ave
Amityville, NY 11701-2736
Phone (631) 789-7000

Other identifiers 1

IdentifierTypeStateIssuer
02193355MedicaidNY

Other names 1

  • Brunswick Medical Services PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000542 NY Part B Supplier - Clinic/Group Practice 8729991971 Receives reassigned benefits from 27 practitioners
Practice locations: Amityville, NY

National Provider Directory

National Provider Directory

Locations

60 Louden Ave
Amityville, NY 11701
Phone (631) 841-2900

910 Route 109
Lindenhurst, NY 11757
Phone (631) 546-5081

Practitioners & affiliated clinicians

Practitioners 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1194736199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LOUDEN AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012736",
            "telephone_number": "631-789-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 LOUDEN AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012736",
            "telephone_number": "631-789-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MAGNETIC RESONANCE IMAGING ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-02-28",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "AMARJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-789-7225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02193355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Medical Services PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brunswick Medical Services PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.