RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC – NPI #1619908100
Radiology

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

RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC is a radiologist located in SMITHTOWN, NY. NPPES has assigned the NPI number 1619908100 to RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC on July 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC below.

NPI Profile for
RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC

NPI Number
1619908100
Enumeration Date

(about 20 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
RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC
Primary location
80 MAPLE AVE
SMITHTOWN, NY 11787
Phone: (631) 265-5777 Fax: (631) 265-5797
Mailing address
100 N BELLE MEAD ROAD
EAST SETAUKET, NY 11733
Phone: (631) 265-5777 Fax: (631) 265-5797
Organization Subpart
No
Authorized Official
EDWARD GLENN
PRESIDENT
Phone: (631) 265-5777
Updated
Identifiers

Identifiers for RADIOLOGIC HEALTH SERVICES MRI OF SMITHTOWN PC

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
MEDICAIDNY02213674
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.