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SUFFOLK BREAST IMAGING PC
NPI 1013027283
Radiology - Diagnostic Radiology in Lake Grove, NY

Active since August 30, 2006
2780 MIDDLE COUNTRY RD, SUITE 210, LAKE GROVE, NY 11755(631) 588-4500(631) 588-4595 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Suffolk Breast Imaging Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUFFOLK BREAST IMAGING PC (NPI 1013027283) is a healthcare organization registered as a diagnostic radiology in Lake Grove, New York and active in the NPI registry since August 2006. The organization lists Alexandra B Perkins, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013027283
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSUFFOLK BREAST IMAGING PC
Location Address2780 MIDDLE COUNTRY RD, SUITE 210Lake Grove, NY 11755-2124
Mailing Address2780 Middle Country Rd, Suite 210Lake Grove, NY 11755-2124 · (631) 588-4500 · Fax (631) 588-4595
Phone(631) 588-4500
Fax(631) 588-4595
Organization SubpartNo
Authorized OfficialAlexandra B PerkinsMedical Director · (631) 588-4500
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 2, 2019
✔ NPI 1013027283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 51017552
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2780 MIDDLE COUNTRY RD, Lake Grove, NY 11755
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suffolk Breast Imaging Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Suffolk Breast Imaging PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Roberto Antonacci, M.D.
Radiation Oncology
NPI 1457302788
2780 MIDDLE COUNTRY RD SUITE 210
Lake Grove, NY 11755
(631) 588-4500
✔ PECOSSame address
Alexandra Perkins, M.D.
Diagnostic Radiology
NPI 1033169404
2780 MIDDLE COUNTRY RD SUITE 210
Lake Grove, NY 11755
(631) 588-4500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suffolk Breast Imaging PC's NPI number?

The NPI number for Suffolk Breast Imaging PC is 1013027283. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Suffolk Breast Imaging PC located?

Suffolk Breast Imaging PC is located at 2780 Middle Country Rd Suite 210, Lake Grove, NY 11755. The listed phone number is (631) 588-4500.

What is Suffolk Breast Imaging PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Suffolk Breast Imaging PC enrolled in Medicare?

Yes. Suffolk Breast Imaging PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suffolk Breast Imaging PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Suffolk Breast Imaging PC, in Diagnostic Radiology and Radiation Oncology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suffolk Breast Imaging PC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.