Impact Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IMPACT IMAGING LLC

Practice address

1133 Westchester Ave Ste N-010
White Plains, NY 10604-3516

Phone

(914) 475-1055

Fax

(646) 661-2347

NPI assigned

Jan 25, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Lee Scott Marcus, MD

Title

Manager

Phone

(914) 475-1055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1831901834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TRAVIS RD",
            "city": "BALDWIN PLACE",
            "state": "NY",
            "postal_code": "105052005",
            "telephone_number": "914-475-1055",
            "fax_number": "646-661-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WESTCHESTER AVE STE N-010",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043516",
            "telephone_number": "914-475-1055",
            "fax_number": "646-661-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-475-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Elizabeth Idiculla
• Gayle Ilario
• Illustradent Westchester Dental Services, PLLC
• Illustradent White Plains Dental Services PLLC
• Imaging Services of Westchester,PLLC
• Impact Medical Cardiac Imaging PLLC
• Tara Imparato
• Independent Surgical Specialists PLLC
• Andrea Indorf, MS, OTR/L
• Kristin Infelice, R.N.

• Diagnostic Radiology Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.