ISLAND DIAGNOSTIC IMAGING ASSOCIATES (NPI# 1619943495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619943495 |
| Entity Type | Organization |
| Organization Name | ISLAND DIAGNOSTIC IMAGING ASSOCIATES |
| Practice Address |
4160 Merrick Rd Massapequa NY 11758 |
| Practice Telephone | 5167976700 |
| Practice Fax Number | 5167978463 |
| Mailing Telephone | 5167976700 |
| Mailing Fax Number | 5167978463 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | DR. STEVEN MARK PEYSER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5167976700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
29022743 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02255443 | 05 |
| Street Address |
4160 MERRICK RD |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275653776 | Massapequa Podiatry Associates, P.C. | Podiatrist | 4160 Merrick Rd, Suite 1, Massapequa, NY 11758-6000 | 2007-03-29 |
| 1922036466 | Corey Fox | Podiatrist | 4160 Merrick Rd, Massapequa, NY 11758-6000 | 2006-06-30 |
| 1396712709 | George J Cavaliere | Radiology | 4160 Merrick Rd, Massapequa, NY 11758-6000 | 2006-03-03 |
| 1801863295 | Richard Lawrence Stapen | Radiology | 4160 Merrick Rd, Massapequa, NY 11758-6000 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865227 | Total Care Radiology PC | Clinic/Center | 4209 Avenue U, Brooklyn, NY 11234-5121 | 2020-06-16 |
| 1104485176 | Silvergleid Radiology Services, PC | Clinic/Center | 51 W 95th St, New York, NY 10025-6753 | 2019-06-12 |
| 1013488972 | Instar Medical PC | Clinic/Center | 14 Georgetown Pl, Smithtown, NY 11787-4912 | 2018-12-17 |
| 1316457518 | Ab Medical Diagnostics PC | Clinic/Center | 499 Chestnut St Ste 216, Cedarhurst, NY 11516-2242 | 2017-10-03 |
| 1629504501 | New York Society for The Relief of The Ruptured and Crippled | Clinic/Center | 333 Earle Ovington Blvd Ste 106, Hss Long Island Outpatient Center, Uniondale, NY 11553-3645 | 2017-05-11 |
| 1669834297 | Primary Care Choice Medical Testing P.c | Clinic/Center | 211 Richmond St, Brooklyn, NY 11208-1945 | 2016-03-23 |
| 1518322171 | Queens Radiology Reading Services Inc | Clinic/Center | 16020 79th St, Howard Beach, Jamaica, NY 11414-2911 | 2015-12-28 |
| 1114348844 | Valor Network Inc | Clinic/Center | 7 Hemptor Rd, New City, NY 10956-2508 | 2013-12-24 |
| 1356782916 | Inwood Medical Diagnostic, P.C. | Clinic/Center | 629 W 185th St Bsmt, New York, NY 10033-3102 | 2013-07-11 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on ISLAND DIAGNOSTIC IMAGING ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.