Organization Active NPI

S I Portable X-Ray SVC Inc

  • Radiologic Technologist
  • Staten Island, NY
National Provider Identifier
1487649042
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
S I PORTABLE X-RAY SVC INC
Practice address
488 Arbutus Ave
Staten Island, NY 10312-5833
Phone
(718) 948-5344
Fax
(718) 948-2654
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Mr. Joseph Kaplan, LRTNPI 1790772523
Title
Director
Phone
(718) 948-5344

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
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

488 Arbutus Ave
Staten Island, NY 10312-5833

Mailing address

488 Arbutus Ave
Staten Island, NY 10312-5833
Phone (718) 948-5344

Other identifiers 1

IdentifierTypeStateIssuer
018019093MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1487649042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 ARBUTUS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125833",
            "telephone_number": "718-948-5344",
            "fax_number": "718-948-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 ARBUTUS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125833",
            "telephone_number": "718-948-5344",
            "fax_number": "718-948-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S I PORTABLE X-RAY SVC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-948-5344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LRT"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018019093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.