Jonathan J Khodadadian, MD

Primary specialty

Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X

License

265565 Issued in NY

Practice address

150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2539

Phone

(631) 225-7200

Fax

(631) 930-9451

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413
  Medicare reassignment NPD
• Afo Imaging Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1740366764
  NPD
• Imaging Center of West Palm Beach LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Delray Beach, FL
  • NPI 1225402464
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Boynton Beach, FL
  • NPI 1396974705
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • West Palm Beach, FL
  • NPI 1538152939
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Lake Worth, FL
  • NPI 1639308042
  NPD
• LCM Imaging Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1033145669
  NPD
• Rhode Island Pet Services, LLC

  • Mobile Radiology Clinic/Center
  • Wakefield, RI
  • NPI 1538113113
  NPD

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1275814618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "208",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572539",
            "telephone_number": "631-225-7200",
            "fax_number": "631-930-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "208",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572539",
            "telephone_number": "631-225-7200",
            "fax_number": "631-930-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODADADIAN",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NY",
            "license": "265565",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Kelly, LMSW
• Patricia A Kelly, MD
• Key Medical
• Akbar Khan, M.D.
• Durdana Khan
• Parvis K. Khodadadian, MD
• Peter G Killian, RN
• Sean Shin Kim
• King Kullen Pharmacy
• Alissa King

• Nuclear Medicine Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Nuclear Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.