Active NPI
Parkway Imaging & Diagnostic PC
- Diagnostic Radiology Physician
- Patchogue, NY
National Provider Identifier
1831459684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PARKWAY IMAGING & DIAGNOSTIC PC
- Practice address
- 450 Waverly Ave
Patchogue, NY 11772-1555 - Phone
- (516) 620-9510
- NPI assigned
- May 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Rothpearl, MD
- Title
- Ceo
- Phone
- (516) 620-9510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NY | Primary |
Addresses
Primary practice location
450 Waverly Ave
Patchogue, NY 11772-1555
Mailing address
400 Post Ave
Suite 200
Westbury, NY 11590-2289
Phone (516) 620-9510
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337904000000",
"number": "1831459684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 POST AVE",
"address_2": "SUITE 200",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115902289",
"telephone_number": "516-620-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WAVERLY AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721555",
"telephone_number": "516-620-9510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY IMAGING & DIAGNOSTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-25",
"last_updated": "2012-05-25",
"status": "A",
"authorized_official_last_name": "ROTHPEARL",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-620-9510",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.