Pro Care Imaging, Inc.

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

140143 Issued in NY

Legal business name

PRO CARE IMAGING, INC.

Practice address

379 Pipe Stave Hollow Rd
Miller Place, NY 11764-1332

Phone

(631) 681-1709

Fax

(347) 494-5270

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Yeluz Roman, RVT

Title

Chief Executive Officer

Phone

(631) 681-1709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1891166245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 PIPE STAVE HOLLOW RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 PIPE STAVE HOLLOW RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641332",
            "telephone_number": "631-681-1709",
            "fax_number": "347-494-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "YELUZ",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "631-681-1709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NY",
            "license": "140143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Jeff Specific Chiropractic
• Port Jefferson Medical Wellness PLLC
• Eric Todd Posner, M.D.
• Nicole Pranzo
• Primary Care Family Doctor P.C.
• Yama Qaderi, P.A
• Jaclyn Querido, RD
• Dorothy A Quilty, L.C.S.W
• Daniel R. Raio, RPA-C
• Toni Ellen Raiten-D'Antonio, LCSW

• Sonography Specialist/Technologist Cardiovascular in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Sonography Specialist/Technologist Cardiovascular in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.