Organization Active NPI

On Site Imaging Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Deerfield, NY
National Provider Identifier
1982939971
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
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

Updated by the provider on May 22, 2013

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)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XS1301X
Radiography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471C3402X 239674 NY
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471V0105X
Vascular-Interventional Technology Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.