Active NPI
On Site Imaging Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Deerfield, NY
National Provider Identifier
1982939971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- ON SITE IMAGING INC
- Practice address
- 14 Kraft Dr
Deerfield, NY 13502-1126 - Phone
- (315) 733-8393
- Fax
- (315) 765-6201
- NPI assigned
- Oct 8, 2009
- 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
- Mr. Salvatore F Nicolette, LRT
- Title
- President
- Phone
- (315) 733-8393
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | |||
| Radiography Radiologic Technologist | 2471C3402X | 239674 | NY | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | |||
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X | |||
| Physiological Laboratory | 293D00000X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
14 Kraft Dr
Deerfield, NY 13502-1126
Mailing address
PO Box 29
New York Mills, NY 13417-0029
Phone (315) 733-8393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090423000038 | NY | Part B Supplier - Portable X-Ray Supplier | 1557425550 | Practice locations: Utica, NY; New Hartford, NY; Rome, NY; Ilion, NY; Deerfield, NY; Chittenango, NY |
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
- On Site Imaging Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Deerfield, NY
- NPI 1538494521
-
- Physiological Laboratory
- Deerfield, NY
- NPI 1760602908
Locations
8299 Turin Rd
Rome, NY 13440
Phone (315) 336-0307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369180800000",
"number": "1982939971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "NEW YORK MILLS",
"state": "NY",
"postal_code": "134170029",
"telephone_number": "315-733-8393",
"fax_number": "315-765-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 KRAFT DR",
"city": "DEERFIELD",
"state": "NY",
"postal_code": "135021126",
"telephone_number": "315-733-8393",
"fax_number": "315-765-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON SITE IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-08",
"last_updated": "2013-05-22",
"status": "A",
"authorized_official_last_name": "NICOLETTE",
"authorized_official_first_name": "SALVATORE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-733-8393",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LRT"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": "NY",
"license": "239674",
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0106X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"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 Deerfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.