Great Neck Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GREAT NECK IMAGING

Practice address

907 Northern Blvd
Great Neck, NY 11021-5304

Phone

(516) 829-3557

Fax

(516) 829-5286

NPI assigned

Aug 17, 2005

Last updated

Aug 22, 2020By 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

Donald Fagelman, M.D.NPI 1669476446

Title

Partner/Secretary

Phone

(516) 829-3557

Specialties & licenses 1

Addresses

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.

• Donald Fagelman, MD

  • Diagnostic Radiology Physician
  • Bay Shore, NY
  • NPI 1669476446
  NPD (past) Authorized official

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487646311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215304",
            "telephone_number": "516-829-3557",
            "fax_number": "516-829-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215304",
            "telephone_number": "516-829-3557",
            "fax_number": "516-829-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAGELMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PARTNER/SECRETARY",
        "authorized_official_telephone_number": "516-829-3557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Neck Dental PLLC
• Great Neck Dermatology, P.C.
• Great Neck Dietitian, PLLC
• Great Neck Eye Care Corp (Great Neck Opticians)
• Great Neck Hematology&Oncology.P.C.
• Great Neck Medical Care, P.C.
• Great Neck Medical Group, LLP
• Great Neck Medical Psychiatry Associates, PC
• Great Neck Medical, P.C.
• Great Neck Medicine PC

• Diagnostic Radiology Physician in Great Neck, NY
• Providers in Great Neck, 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 Aug 22, 2020; 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.