NPIMap

Organization Active NPI

Alan Berlly, MDPC

Doing business as Meadow Diagnostic Imaging

  • Radiology Clinic/Center
  • East Meadow, NY
National Provider Identifier
1760469811
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ALAN BERLLY, MDPC
Doing business as
Meadow Diagnostic Imaging
Practice address
1854 Front St
East Meadow, NY 11554-2444
Phone
(516) 228-0110
Fax
(516) 228-0111
NPI assigned
Dec 29, 2005
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. Alan Berlly, MDNPI 1437159845
Title
Senior Partner
Phone
(631) 517-8006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1854 Front St
East Meadow, NY 11554-2444

Mailing address

PO Box 18005
Hauppauge, NY 11788-8805
Phone (631) 517-8000

Other names 1

  • Meadow Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1760469811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18005",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117888805",
            "telephone_number": "631-517-8000",
            "fax_number": "631-893-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542444",
            "telephone_number": "516-228-0110",
            "fax_number": "516-228-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BERLLY, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "BERLLY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "631-517-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.