Organization Active NPI

Ronkonkoma Medical Services PLLC

  • Electroneurodiagnostic Specialist/Technologist
  • Ronkonkoma, NY
National Provider Identifier
1225855299
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
RONKONKOMA MEDICAL SERVICES PLLC
Practice address
4155 Veterans Memorial Hwy Ste 6
Ronkonkoma, NY 11779-6063
Phone
(631) 730-7970
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Daniel Choi, MDNPI 1225337595
Title
MD
Phone
(631) 730-7970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

4155 Veterans Memorial Hwy Ste 6
Ronkonkoma, NY 11779-6063

Mailing address

4155 Veterans Memorial Hwy Ste 6
Ronkonkoma, NY 11779-6063
Phone (631) 730-7970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028002342 NY Part B Supplier - Clinic/Group Practice 6002349172 Receives reassigned benefits from 1 practitioner
Practice locations: Ronkonkoma, NY

National Provider Directory

National Provider Directory

Locations

4155 Veterans Memorial Hwy
Ste 6
Ronkonkoma, NY 11779
Phone (631) 730-7970

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1225855299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 VETERANS MEMORIAL HWY STE 6",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796063",
            "telephone_number": "631-730-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 VETERANS MEMORIAL HWY STE 6",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796063",
            "telephone_number": "631-730-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONKONKOMA MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-730-7970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.