Organization Active NPI

Long Island Mobile Medical Imaging PC

  • Radiology Clinic/Center
  • Islandia, NY
National Provider Identifier
1932811122
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
LONG ISLAND MOBILE MEDICAL IMAGING PC
Practice address
100 Patco CT Ste 5
Islandia, NY 11749-1522
Phone
(914) 312-2543
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Dr. Ronald I Landau, MD
Title
Owner
Phone
(914) 312-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

100 Patco CT Ste 5
Islandia, NY 11749-1522

Mailing address

100 Patco CT Ste 5
Islandia, NY 11749-1522
Phone (914) 312-2543

National Provider Directory

National Provider Directory

Locations

100 Patco Ct
Ste 5
Islandia, NY 11749
Phone (914) 312-2543

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1932811122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PATCO CT STE 5",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491522",
            "telephone_number": "914-312-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATCO CT STE 5",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491522",
            "telephone_number": "914-312-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND MOBILE MEDICAL IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-312-2534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "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 Dec 19, 2022; 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.