Organization Active NPI

Excel Radiology Services, PC

  • Specialist
  • Islandia, NY
National Provider Identifier
1881066470
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
176232 Issued in NY
Legal business name
EXCEL RADIOLOGY SERVICES, PC
Practice address
1930 Veterans Hwy
Suite 12-220
Islandia, NY 11749-1599
Phone
(516) 531-9119
Fax
(516) 414-7126
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Michele Sofia Rubin, MD
Title
President
Phone
(516) 531-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 176232 NY Primary

Addresses

Primary practice location

1930 Veterans Hwy
Suite 12-220
Islandia, NY 11749-1599

Mailing address

1570 Old Country Rd
Westbury, NY 11590-5238
Phone (516) 531-9119

National Provider Directory

National Provider Directory

Locations

1930 Veterans Hwy
Ste 12220
Islandia, NY 11749
Phone (516) 531-9119

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1881066470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905238",
            "telephone_number": "516-531-9119",
            "fax_number": "516-414-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 VETERANS HWY",
            "address_2": "SUITE 12-220",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491599",
            "telephone_number": "516-531-9119",
            "fax_number": "516-414-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL RADIOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-531-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "176232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.