North Fork Radiology PC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NORTH FORK RADIOLOGY PC

Practice address

1333 Roanoke Ave
Riverhead, NY 11901

Phone

(631) 727-2755

Fax

(631) 208-9521

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Martin Vandyne, MDNPI 1942369608

Title

President

Phone

(631) 727-2755

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Vandyne, MD

  • Diagnostic Radiology Physician
  • Riverhead, NY
  • NPI 1942369608
  NPD (past) Authorized official
• Angela Savino, MD

  • Diagnostic Radiology Physician
  • Atlantis, FL
  • NPI 1811900517
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1891703872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-2755",
            "fax_number": "631-208-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-2755",
            "fax_number": "631-208-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "VANDYNE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-727-2755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00930429",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W11401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF3402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meenakshi Yamini Nori
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• North Fork Neuropsychology
• North Fork Orthodontics, P.C.
• North Fork Physical Therapy PC
• North Shore Hampton Medical and Surgical Eye Care, P.C.
• North Shore Hematology Oncology Associates PC
• North Shore Hematology Oncology Associates PC
• Northeast Restorative Physical and Occupational Therapy Services, PLLC
• Northport Vamc

• Radiology Clinic/Center in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.