Active NPI
Mas Imaging Portable X-Ray Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- MAS IMAGING PORTABLE X-RAY INC
- Practice address
- 90 Arrival Ave Ste 105
Ronkonkoma, NY 11779 - Phone
- (631) 912-7476
- NPI assigned
- Sep 1, 2016
- 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
- Marlo Suazo
- Title
- Sole Owner
- Phone
- (631) 912-7476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
90 Arrival Ave Ste 105
Ronkonkoma, NY 11779
Mailing address
90 Arrival Ave Ste 105
Ronkonkoma, NY 11779-7361
Phone (631) 912-7476
Other practice location 1
2 Kane Court
Huntington, NY 11716
Phone (631) 912-7476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191107001416 | NY | Part B Supplier - Portable X-Ray Supplier | 8426480765 | Practice locations: Ronkonkoma, NY |
Portable X-ray supplier certification: CCN 33X0009898
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MAS IMAGING PORTABLE X-RAY INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Dec 23, 2020
- Last certification
- Dec 23, 2020
- Ownership / control type
- Corporation
- Facility address
- 90 Arrival Avenue, Suite 90
Lake Ronkonkoma, NY 11779
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Mas Imaging Portable Xray Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- Ronkonkoma, NY
- NPI 1144876483
-
- Mobile Radiology Clinic/Center
- Ronkonkoma, NY
- NPI 1821411489
Locations
90 Arrival Ave
Ste 90
Ronkonkoma, NY 11779
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Stony Brook, NY
- NPI 1942536180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1881141364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 ARRIVAL AVE STE 105",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797361",
"telephone_number": "631-912-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 ARRIVAL AVE STE 105",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-912-7476"
}
],
"practiceLocations": [
{
"address_1": "2 Kane Court",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "11716",
"country_code": "US",
"telephone_number": "631-912-7476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAS IMAGING PORTABLE X-RAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "SUAZO",
"authorized_official_first_name": "MARLO",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "631-912-7476"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.