Esb Radiology P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

214773-1 Issued in NY

Legal business name

ESB RADIOLOGY P.C.

Practice address

201 Portion Rd
Suite B
Ronkonkoma, NY 11779-4172

Phone

(516) 872-7001

Fax

(516) 872-7007

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ron Mark, MD

Title

Medical Director

Phone

(516) 872-7001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1558628644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "516-872-7001",
            "fax_number": "516-872-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "516-872-7001",
            "fax_number": "516-872-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESB RADIOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-872-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "214773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Engel, R.N.
• Lori Engelbert, LAC
• Neha Eqbal
• Salvatore Errante Jr., DMD
• Betha Hunnicutt Ertzberger, CPED
• Santa Espinal, RN
• Melody A Espiritu, PT
• Maria Celia Evangelista, PT
• F. Mendy Neurological PC
• Kimberly Fable

• Diagnostic Radiology Physician in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Apr 13, 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.