Organization Active NPI

Luna Healing Solution Inc

  • Diagnostic Ultrasound Physician
  • Smithtown, NY
National Provider Identifier
1497407654
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
LUNA HEALING SOLUTION INC
Practice address
363 Route 111 Ste 99
Smithtown, NY 11787-4782
Phone
(516) 419-7940
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Ellada Tinatti
Title
Owner
Phone
(516) 419-7940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

363 Route 111 Ste 99
Smithtown, NY 11787-4782

Mailing address

99 Percy Williams Dr
East Islip, NY 11730-2219
Phone (516) 419-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221014000352 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0648657544 Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Locations

100 W Oak St
Ste B
Amityville, NY 11701
Phone (516) 419-7940

363 Route 111
Ste 99
Smithtown, NY 11787
Phone (516) 419-7940

6144 Route 25A
Ste 18D
Wading River, NY 11792
Phone (516) 419-7940

Practitioners & affiliated clinicians

Practitioners 6

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": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1497407654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PERCY WILLIAMS DR",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302219",
            "telephone_number": "516-419-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111 STE 99",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874782",
            "telephone_number": "516-419-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA HEALING SOLUTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "TINATTI",
        "authorized_official_first_name": "ELLADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-419-7940"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.