Mosaic Diagnostic Imaging PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MOSAIC DIAGNOSTIC IMAGING PLLC

Practice address

165 N Village Ave
Rockville Centre, NY 11570-3761

Phone

(631) 793-8267

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Eric James Feldmann, MD

Title

President

Phone

(631) 793-8267

Specialties & licenses 1

Addresses

Other names 1

• Mosaic Diagnostic Imaging Doing business as

Locations

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1356987473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GEORGETOWN PL",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874912",
            "telephone_number": "631-793-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703761",
            "telephone_number": "631-793-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC DIAGNOSTIC IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "FELDMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-793-8267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mosaic Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Anne Morgan, OTR/L
• James John Morimando, RPA-C
• Samantha Morin, MHC-LP
• Stanley Morin, NP
• Isaac Arrington Morrise, PA
• Daniel John Moscato, PA-C
• Marian D. Moses, MS. ED.
• Shanth Praveen Moses, FNP-BC
• Edward Moskowitz, PSY.D.
• Donna Moss, LCSW

• Radiology Clinic/Center in Rockville Centre, NY
• Providers in Rockville Centre, 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 Jul 14, 2021; 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.