New Jersey Portable X-Ray Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

NEW JERSEY PORTABLE X-RAY INC

Practice address

99 Jericho Tpke Ste 204
Jericho, NY 11753-1015

Phone

(516) 432-3800

Fax

(516) 897-3915

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Patricia A Fowler

Title

Owner

Phone

(516) 361-3290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 31X0009844

Legal name

SPECIALTY PORTABLE X-RAY INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jan 20, 2020

Last certification

Nov 13, 2019

Ownership / control type

Corporation

Facility address

101 Hudson St, 21St Floor
Jersey City, NJ 07302

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1215295126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE",
            "address_2": "SUITE 204",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531073",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE STE 204",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hudson St",
            "address_2": "21ST FLOOR",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023915",
            "country_code": "US",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW JERSEY PORTABLE X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-361-3290"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Scott Munter, D.D.S.
• Michael Nettis-Benstock, PSY.D
• Neurology and Neurosurgery of New York
• Frieda Neuschotz, M.D.
• New Hope Fertility Long Island PLLC
• New York Ear Nose and Throat Specialist PC
• Christine M Newman, PH.D.
• Leslie Beth Newman, M.A.CCC-SLP
• Emily Manyin Ngan Choi, RN, IBCLC
• Kelly O'Brien

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Jericho, NY
• Providers in Jericho, NY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.