Organization Active NPI

Rockland Nuclear Spect Imaging, PC

  • Nuclear Cardiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1639240179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
ROCKLAND NUCLEAR SPECT IMAGING, PC
Practice address
2656 South Rd
Suite B
Poughkeepsie, NY 12601-5279
Phone
(845) 545-5545
Fax
(845) 545-6992
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacqueline Mayer
Title
VP, Managed Care & Credentialing
Phone
(631) 952-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X Primary

Addresses

Primary practice location

2656 South Rd
Suite B
Poughkeepsie, NY 12601-5279

Mailing address

PO Box 13125
Hauppauge, NY 11788-0560
Phone (845) 454-5545

Other identifiers 1

IdentifierTypeStateIssuer
02082942MedicaidNY

Other names 1

  • Poughkeepsie Cardiac Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Newburgh Cardiovascular Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639240179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13125",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880560",
            "telephone_number": "845-454-5545",
            "fax_number": "845-454-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 SOUTH RD",
            "address_2": "SUITE B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015279",
            "telephone_number": "845-545-5545",
            "fax_number": "845-545-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND NUCLEAR SPECT IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP, MANAGED CARE & CREDENTIALING",
        "authorized_official_telephone_number": "631-952-5717"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02082942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poughkeepsie Cardiac Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.