Vanguard Medical Imaging P C

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

222791-1 Issued in NY

Legal business name

VANGUARD MEDICAL IMAGING P C

Practice address

520 Old Country Rd
Plainview, NY 11803-6501

Phone

(516) 495-5200

Fax

(516) 495-5201

NPI assigned

Aug 2, 2012

Last updated

Oct 5, 2012By 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

Dr. Lisa A Corrente, M.D.

Title

Medical Director

Phone

(516) 495-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1245586684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CORPORATE CENTER DRIVE",
            "address_2": "105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473193",
            "telephone_number": "631-396-1050",
            "fax_number": "631-396-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036501",
            "telephone_number": "516-495-5200",
            "fax_number": "516-495-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD MEDICAL IMAGING P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "CORRENTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-495-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "222791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Valenstein, PT, DPT
• Joseph Valenti
• Wilda Valentin
• Ashley Valerio, FNP
• Vandana Soni Physician PC
• Linda Vanschultz, MS
• Miriam Varghese, PSYD
• Stanley Varghese, PA-C
• Denise Vasques
• Thomas Baby Vazhakalayil, DPT

• Radiology Clinic/Center in Plainview, NY
• Providers in Plainview, 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 Oct 5, 2012; 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.