NPIMap

Organization Active NPI

Noa Diagnostics of Ny LLC

  • Mobile Radiology Clinic/Center
  • Syosset, NY
National Provider Identifier
1700128568
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
NOA DIAGNOSTICS OF NY LLC
Practice address
6851 Jericho Tpke Ste 240
Syosset, NY 11791-4443
Phone
(516) 986-2700
Fax
(516) 986-2710
NPI assigned
Mar 20, 2013
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mr. Evan Jasser
Title
Coo
Phone
(516) 986-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X NU Primary

Addresses

Primary practice location

6851 Jericho Tpke Ste 240
Syosset, NY 11791-4443

Mailing address

6851 Jericho Tpke Ste 240
Syosset, NY 11791-4443
Phone (516) 986-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140225000003 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850525841 Practice locations: Syosset, NY
O20140924000062 CT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850525841 Practice locations: Cromwell, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

162 West St
Ste C
Cromwell, CT 06416
Phone (516) 986-2700

1224 Mill St
#5
East Berlin, CT 06023
Phone (516) 986-2700

1186 Broadway
Hewlett, NY 11557
Phone (516) 986-2700

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1700128568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 JERICHO TPKE STE 240",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914443",
            "telephone_number": "516-986-2700",
            "fax_number": "516-986-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 JERICHO TPKE STE 240",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914443",
            "telephone_number": "516-986-2700",
            "fax_number": "516-986-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOA DIAGNOSTICS OF NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "JASSER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "516-986-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.