Organization Active NPI

Star Medical Imaging, PC

  • Radiology Clinic/Center
  • Valley Stream, NY
National Provider Identifier
1699441360
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
STAR MEDICAL IMAGING, PC
Practice address
141 E Merrick Rd
Valley Stream, NY 11580-5925
Phone
(516) 604-0707
Fax
(516) 399-1100
NPI assigned
Aug 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
John Sherry Lyons, MD
Title
Medical Director
Phone
(516) 604-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

141 E Merrick Rd
Valley Stream, NY 11580-5925

Mailing address

141 E Merrick Rd
Valley Stream, NY 11580-5925
Phone (516) 604-0707

National Provider Directory

National Provider Directory

Locations

141 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 778-0022

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1699441360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805925",
            "telephone_number": "516-604-0707",
            "fax_number": "516-399-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805925",
            "telephone_number": "516-604-0707",
            "fax_number": "516-399-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-604-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.