Island Diagnostic Imaging Associates

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

29022743 Issued in NY

Legal business name

ISLAND DIAGNOSTIC IMAGING ASSOCIATES

Practice address

4160 Merrick Rd
Massapequa, NY 11758

Phone

(516) 797-6700

Fax

(516) 797-8463

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Mark Peyser, MD

Title

Medical Director

Phone

(516) 797-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Maria Vissicchio, MD

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1356318463
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1619943495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-797-6700",
            "fax_number": "516-797-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-797-6700",
            "fax_number": "516-797-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DIAGNOSTIC IMAGING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "PEYSER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-797-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "29022743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02255443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Instant Medical Care, PC
• Intrinsic Energy Acupuncture PLLC
• Marjorie J. Isdith, D.O.
• Sabrina Islam, LMSW
• Island Chiropractic Wellness P.C.
• Island Family Medicine PC
• Island Lighthouse Consultation Services, NP in Psychiatry, P.C.
• Island Medical Office PC
• Island Neuro Care, PC
• Island Neurological Therapy, P.C.

• Radiology Clinic/Center in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.