Active NPI
Radiological Imaging Solutions PLLC
- Diagnostic Radiology Physician
- Port Jefferson Station, NY
National Provider Identifier
1871854182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 177726
- Legal business name
- RADIOLOGICAL IMAGING SOLUTIONS PLLC
- Practice address
- 1201 Route 112
Port Jefferson Station, NY 11776-8001 - Phone
- (631) 446-4700
- Fax
- (631) 446-4701
- NPI assigned
- Jun 4, 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
- Charles J Demarco, MD
- Title
- MD/Owner
- Phone
- (718) 507-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 177726 | NY | Primary |
Addresses
Primary practice location
1201 Route 112
Port Jefferson Station, NY 11776-8001
Mailing address
1201 Route 112
Port Jefferson Station, NY 11776-8001
Phone (631) 446-4700
National Provider Directory
National Provider DirectoryLocations
1201 Route 112
Port Jefferson Station, NY 11776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338768000000",
"number": "1871854182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 ROUTE 112",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768001",
"telephone_number": "631-446-4700",
"fax_number": "631-446-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ROUTE 112",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768001",
"telephone_number": "631-446-4700",
"fax_number": "631-446-4701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGICAL IMAGING SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A",
"authorized_official_last_name": "DEMARCO",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "718-507-4700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "177726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.