North Carll Chiropractic Imaging, P.C.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

X010061-2 Issued in NY

Legal business name

NORTH CARLL CHIROPRACTIC IMAGING, P.C.

Practice address

130 N Carll Ave
Babylon, NY 11702-2238

Phone

(631) 482-8829

Fax

(631) 482-8832

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Todd Winokur, D.C.

Title

President

Phone

(631) 482-8829

Specialties & licenses 1

Addresses

Other names 1

• Babylon Diagnostic Imaging Group Doing business as

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1720529027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N CARLL AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022238",
            "telephone_number": "631-482-8829",
            "fax_number": "631-482-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N CARLL AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022238",
            "telephone_number": "631-482-8829",
            "fax_number": "631-482-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CARLL CHIROPRACTIC IMAGING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "WINOKUR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-482-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NY",
            "license": "X010061-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Babylon Diagnostic Imaging Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.