BETHPAGE OPEN MRI – NPI #1225104979
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BETHPAGE OPEN MRI is a radiologist located in BETHPAGE, NY. NPPES has assigned the NPI number 1225104979 to BETHPAGE OPEN MRI on November 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BETHPAGE OPEN MRI” is a dba name, the actual legal business name for this organization is BETHPAGE MAGNETIC RESONANCE IMAGING, PC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Jul 21, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BETHPAGE OPEN MRI below.

NPI Profile for
BETHPAGE MAGNETIC RESONANCE IMAGING, PC

NPI Number
1225104979
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BETHPAGE MAGNETIC RESONANCE IMAGING, PC
Doing Business As (dba): BETHPAGE OPEN MRI
Primary location
4277 HEMPSTEAD TPKE
BETHPAGE, NY 11714-5709
Phone: (516) 579-8500 Fax: (516) 579-5974
Mailing address
PO BOX 11295
HAUPPAUGE, NY 11788-0973
Phone: (516) 579-8500 Fax: (516) 579-5974
Organization Subpart
No
Authorized Official
JACQUELINE MAYER
VP, MANAGED CARE & CREDENTIALING
Phone: (516) 579-8500
Updated
Identifiers

Identifiers for BETHPAGE OPEN MRI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY0235841
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.