Individual provider Active NPI

Paul Harry Scaglione, LRT

  • Computed Tomography Radiologic Technologist
  • Long Beach, NY
National Provider Identifier
1265803928
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
920304 Issued in NY
Practice address
125 Lindell Blvd
Long Beach, NY 11561-2945
Phone
(516) 476-6972
NPI assigned
Oct 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 920304 NY Primary

Addresses

Primary practice location

125 Lindell Blvd
Long Beach, NY 11561-2945

Mailing address

125 Lindell Blvd
Long Beach, NY 11561-2945
Phone (516) 476-6972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
920304NYMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1265803928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LINDELL BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612945",
            "telephone_number": "516-476-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LINDELL BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612945",
            "telephone_number": "516-476-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGLIONE",
        "first_name": "PAUL",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "LRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "NY",
            "license": "920304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.