Martin Vandyne, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1101691 Issued in NY

Practice address

1333 Roanoke Ave
Riverhead, NY 11901-2029

Phone

(631) 727-2755

Fax

(631) 208-9521

NPI assigned

Dec 8, 2006

Last updated

May 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hampton Radiology PC

  • Radiology Clinic/Center
  • Hampton Bays, NY
  • NPI 1154339133
  Authorized official Same address or phone
• North Fork Radiology PC

  • Radiology Clinic/Center
  • Riverhead, NY
  • NPI 1891703872
  NPD (past) Authorized official
• Southampton Radiology PC

  • Radiology Clinic/Center
  • Southampton, NY
  • NPI 1255349239
  Authorized official Same address or phone
• Radiology Health Services, PC

  • Diagnostic Radiology Physician
  • Smithtown, NY
  • NPI 1558386219
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1942369608",
    "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": "119012029",
            "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": "119012029",
            "telephone_number": "631-727-2755",
            "fax_number": "631-208-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYNE",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1101691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP HR",
            "identifier": "WEU091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF3402",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP SHR",
            "identifier": "W22111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W11401",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00471641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Comprehensive Care, LTD
• Urological Associates of Li, PC
• Bonnie Jean Vahlsing, MSN, CCRN, FNP-BC
• Jennifer Valcin, LMSW
• Patrick Valentino, MD
• Rafaela A Vasquez, LMSW
• Cristie Lee Vasso, RPA-C
• Lucille Terese Vaughan, FPS
• Anthony Frederick Vecchiarello, LMSW
• John Veliath, M.D.

• Diagnostic Radiology Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Diagnostic Radiology Physician 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.