Organization Active NPI

Long Beach Radiology Associates, LLP

  • Diagnostic Radiology Physician
  • Long Beach, NY
National Provider Identifier
1417059528
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LONG BEACH RADIOLOGY ASSOCIATES, LLP
Practice address
455 East Bay Drive
Long Beach, NY 11561
Phone
(516) 897-1360
Fax
(516) 897-1363
NPI assigned
Sep 1, 2006
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Dennis R Rossi, M.D.NPI 1952388951
Title
General Partner
Phone
(516) 354-4200

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
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

455 East Bay Drive
Long Beach, NY 11561

Mailing address

545 Elmont Rd
Elmont, NY 11003-4002
Phone (516) 354-4200

Other identifiers 1

IdentifierTypeStateIssuer
02190729MedicaidNY

National Provider Directory

National Provider Directory

Locations

1575 Hillside Ave
Ste LL3
New Hyde Park, NY 11040
Phone (516) 503-6553

1575 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 200-1835

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1417059528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034002",
            "telephone_number": "516-354-4200",
            "fax_number": "516-977-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EAST BAY DRIVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "516-897-1360",
            "fax_number": "516-897-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH RADIOLOGY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "516-354-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02190729",
            "state": "NY"
        }
    ],
    "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 Mar 29, 2010; 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.