Specialty Portable X-Ray Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

29021253 Issued in NY

Legal business name

SPECIALTY PORTABLE X-RAY INC.

Practice address

99 Jericho Turnpike
Suite 204
Jericho, NY 11753-1015

Phone

(516) 432-3800

Fax

(516) 897-3915

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Patricia A Fowler

Title

Owner

Phone

(516) 432-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Specialty Portable X-Ray Inc2 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.

• Specialty Portable X-Ray, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Jericho, NY
  • NPI 1457439606
  NPD tax ID

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1679900427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TURNPIKE",
            "address_2": "SUITE 204",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TURNPIKE",
            "address_2": "SUITE 204",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-432-3800",
            "fax_number": "516-897-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PORTABLE X-RAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-432-3800"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NY",
            "license": "29021253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02849241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Soto, LMSW
• Sovereign Medical Services PC
• Spark Health Physical Therapy P.C.
• Specialized Screening Services
• Specialty Portable X-Ray Inc
• Specialty Portable X-Ray, Inc
• Matthew A Spiegel, M.D.
• Stacy Pellettieri
• Michael Stella, ATC
• Kenneth Roy Sternfeld, RPH

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Jericho, NY
• Providers in Jericho, NY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.