Specialty Portable X-Ray, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

29021253 Issued in NY

Legal business name

SPECIALTY PORTABLE X-RAY, INC

Practice address

99 Jericho Turnpike
Jericho, NY 11753-1015

Phone

(516) 432-3800

Fax

(516) 897-3915

NPI assigned

Nov 2, 2006

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Fowler

Title

Owner

Phone

(516) 432-3800

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Specialty Portable X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Jericho, NY
  • NPI 1760659585

  0244282705

  Same PAC ID

Tax ID family

Specialty Portable X-Ray Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Specialty Portable X-Ray Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Jericho, NY
  • NPI 1679900427
  NPD tax ID

Locations

Practitioners 2

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.

• Kenneth Bruce Richman, M.D.

  • Vascular & Interventional Radiology Physician
  • Oceanside, NY
  • NPI 1912997578
  NPD (past)
• Michael Winn, M.D.

  • Diagnostic Radiology Physician
  • Oceanside, NY
  • NPI 1700876281
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1457439606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TURNPIKE",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TURNPIKE",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PORTABLE X-RAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-432-3800"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NY",
            "license": "29021253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "O98881",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02849241",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew A Spiegel, M.D.
• Stacy Pellettieri (Right Pass)
• Michael Stella, ATC
• Kenneth Roy Sternfeld, RPH
• Tadeusz Strzelecki, M.D.

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Jericho, NY
• Providers in Jericho, NY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.