KIMBERLY D. ZEDALIS
NPI 1124276282
Radiology Practitioner Assistant in Lake Grove, NY

Q: What is Kimberly Zedalis's NPI number?

The NPI number for Kimberly Zedalis is 1124276282. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Q: What is Kimberly Zedalis's specialty?

The primary specialty registered for this NPI is Radiology Practitioner Assistant with taxonomy code 243U00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Zedalis was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 03, 2008

2780 MIDDLE COUNTRY RD, STE 210, LAKE GROVE, NY 11755(631) 588-4500(631) 588-4595 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly D. Zedalis NPPES

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

KIMBERLY D. ZEDALIS (NPI 1124276282) is an individual radiology practitioner assistant in Lake Grove, New York, licensed in New York (000142) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1124276282

Entity TypeIndividualFemale

Primary Taxonomy243U00000X

Provider Legal NameKIMBERLY D. ZEDALIS

Location Address2780 MIDDLE COUNTRY RD, STE 210Lake Grove, NY 11755-2124

Mailing Address2780 Middle Country Rd, Ste 210Lake Grove, NY 11755-2124 · (631) 588-4500 · Fax (631) 588-4595

Phone(631) 588-4500

Fax(631) 588-4595

Sole ProprietorNo

Enumeration DateSeptember 3, 2008

Last NPPES UpdateOctober 1, 2008

✔ NPI 1124276282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code243U00000X

License✔ Licensed in NY · 000142

Definition

A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.

Also ListedRadiologic TechnologistTaxonomy 247100000X · License 956080 (NY)

Also ListedRadiologic Technologist · MammographyTaxonomy 2471M2300X · License 956080 (NY)

2780 MIDDLE COUNTRY RD, Lake Grove, NY 11755

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUFFOLK BREAST IMAGING PC

Radiology (Diagnostic Radiology)

2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755

Suffolk County (631) 588-4500

ALEXANDRA B PERKINS M.D.

Radiology (Diagnostic Radiology)

2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755

Suffolk County (631) 588-4500

MS. JULIE MANIS R.N., GNP, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

2780 MIDDLE COUNTRY RD, SUITE 306
LAKE GROVE, NY 11755

Suffolk County (631) 981-8300

JULIO C ALMEYDA PHYSICIAN ASSISTANT

Physician Assistant

2780 MIDDLE COUNTRY RD, SUIT 140
LAKE GROVE, NY 11755

Suffolk County (631) 580-1000

HEALTH ONE MEDICAL PC

Chiropractor (Rehabilitation)

2780 MIDDLE COUNTRY RD
LAKE GROVE, NY 11755

Suffolk County (631) 580-1000

ROBERTO ANTONACCI M.D.

Radiology (Radiation Oncology)

2780 MIDDLE COUNTRY RD, SUITE 210
LAKE GROVE, NY 11755

Suffolk County (631) 588-4500

EVAN KEITH BERNSTEIN DC

Chiropractor

2780 MIDDLE COUNTRY RD, SUITE 140
LAKE GROVE, NY 11755

Suffolk County (631) 580-1000

DEBORAH ANN PRIEBE PH.D.

Psychologist (Clinical)

2780 MIDDLE COUNTRY RD, SUITE 209
LAKE GROVE, NY 11755

Suffolk County (631) 361-5080

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 Kimberly Zedalis's NPI number?

The NPI number for Kimberly Zedalis is 1124276282. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Kimberly Zedalis located?

Kimberly Zedalis practices at 2780 Middle Country Rd Ste 210, Lake Grove, NY 11755. The listed phone number is (631) 588-4500.

What is Kimberly Zedalis's specialty?

The primary specialty registered for this NPI is Radiology Practitioner Assistant with taxonomy code 243U00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Zedalis was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.