Active NPI
Luna Healing Solution Inc
- Diagnostic Ultrasound Physician
- Smithtown, NY
National Provider Identifier
1497407654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221014000352 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0648657544 | Practice locations: Smithtown, NY |
National Provider Directory
National Provider DirectoryLocations
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.
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- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jamaica, NY
- NPI 1295885374
-
- Neurology Physician
- Melville, NY
- NPI 1285723791
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1639376999
-
- Diagnostic Radiology Physician
- Lyndhurst, NJ
- NPI 1295838845
-
- Cardiovascular Disease Physician
- Langhorne, PA
- NPI 1457305955
-
- Diagnostic Radiology Physician
- Roanoke, VA
- NPI 1992768147
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.