Dynamic Radiological PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DYNAMIC RADIOLOGICAL PC

Practice address

201 Portion Rd
Suite B
Ronkonkoma, NY 11779-4172

Phone

(516) 872-7001

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Shea Rosario

Title

Biller

Phone

(631) 498-1394

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1457684086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "516-872-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RADIOLOGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "SHEA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "631-498-1394"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Duffy, LMSW
• Victoria Dunn, PHARMD
• Bridget Duplessis
• Belkis Duran
• Jamie Durkin, M.A., CCC-SLP
• Breanna Marie Economos
• Suzanne Marie Edelman, LMHC
• Jonathan Edom, RN
• Thomas Michael Ehrlinger
• Jennifer Elliott

• Diagnostic Radiology Physician in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.