Organization Active NPI

Islandia MRI Associates PC

  • Specialist
  • Islandia, NY
National Provider Identifier
1265459846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
177835-1 Issued in NY
Legal business name
ISLANDIA MRI ASSOCIATES PC
Practice address
200 Corporate PLZ
Express Drive South
Islandia, NY 11749-1552
Phone
(631) 234-2828
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jayne M. Bernier, M.D.NPI 1063466183
Title
President
Phone
(631) 234-2828

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 177835-1 NY Primary

Addresses

Primary practice location

200 Corporate PLZ
Express Drive South
Islandia, NY 11749-1552

Mailing address

200 Corporate PLZ
Express Drive South
Islandia, NY 11749-1552
Phone (631) 234-2828

National Provider Directory

National Provider Directory

Locations

200 Corporate Plz
#A103
Islandia, NY 11749
Phone (631) 234-2828

200 Corporate Plz
#D
Islandia, NY 11749
Phone (631) 234-2828

200 Corporate Plz
Islandia, NY 11749
Phone (631) 234-2828

7336 Grand Ave
Maspeth, NY 11378
Phone (718) 507-8184

Practitioners & affiliated clinicians

Practitioners 4

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265459846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PLZ",
            "address_2": "EXPRESS DRIVE SOUTH",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491552",
            "telephone_number": "631-234-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PLZ",
            "address_2": "EXPRESS DRIVE SOUTH",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491552",
            "telephone_number": "631-234-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDIA MRI ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNIER",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-234-2828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "177835-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.