Organization Active NPI

Vision Imaging of Kingston LLC

  • Diagnostic Radiology Physician
  • Kingston, PA
National Provider Identifier
1487609483
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VISION IMAGING OF KINGSTON LLC
Practice address
517 Pierce Street
Kingston, PA 18704-5756
Phone
(570) 714-7226
Fax
(570) 714-6288
NPI assigned
May 24, 2006
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Debbie Armstrong
Title
Executive Assistant
Phone
(973) 418-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

517 Pierce Street
Kingston, PA 18704-5756

Mailing address

PO Box 3400
Kingston, PA 18704-0400
Phone (570) 208-5530

Other identifiers 1

IdentifierTypeStateIssuer
1012415760001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NC, FL, LA, NJ, AZ7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20041217000010 PA Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 14 practitioners
Practice locations: Kingston, PA; Phoenixville, PA; Pottsville, PA; Villanova, PA; Westtown, PA
O20190308000657 NY Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 17 practitioners
Practice locations: Tarrytown, NY; Newburgh, NY; Lagrangeville, NY; New York, NY; New Windsor, NY; Middletown, NY; Howard Beach, NY; Cohoes, NY…
O20210317001352 NC Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 1 practitioner
Practice locations: Waxhaw, NC
O20240116002533 FL Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 4 practitioners
Practice locations: Delray Beach, FL; Ponte Vedra, FL; Windermere, FL
O20250203001844 LA Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA
O20250204002873 NJ Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 2 practitioners
Practice locations: Upper Saddle River, NJ; Ringwood, NJ; Fair Lawn, NJ
O20250930002212 AZ Part B Supplier - Clinic/Group Practice 8921065319 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1487609483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3400",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040400",
            "telephone_number": "570-208-5530",
            "fax_number": "570-208-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 PIERCE STREET",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045756",
            "telephone_number": "570-714-7226",
            "fax_number": "570-714-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION IMAGING OF KINGSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "973-418-6214"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012415760001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.