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SUFFOLK MEDICAL IMAGING, PC
NPI 1760615793
Radiology - Diagnostic Radiology in Lake Grove, NY

Active since August 25, 2009
2780 MIDDLE COUNTRY ROAD, SUITE 210, LAKE GROVE, NY 11755(631) 588-4500(631) 588-4595 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suffolk Medical Imaging, Pc NPPES

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

SUFFOLK MEDICAL IMAGING, PC (NPI 1760615793) is a healthcare organization registered as a diagnostic radiology in Lake Grove, New York and active in the NPI registry since August 2009. The organization lists Robert Antonacci, President, as its authorized official.

NPPES Registry Identity

NPI1760615793
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSUFFOLK MEDICAL IMAGING, PC
Location Address2780 MIDDLE COUNTRY ROAD, SUITE 210Lake Grove, NY 11755
Mailing Address2780 Middle Country Road, Suite 210Lake Grove, NY 11755 · (631) 588-4500 · Fax (631) 588-4595
Phone(631) 588-4500
Fax(631) 588-4595
Organization SubpartNo
Authorized OfficialRobert AntonacciPresident · (631) 588-4500
Enumeration DateAugust 25, 2009
✔ NPI 1760615793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2780 MIDDLE COUNTRY ROAD, 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

Other Providers at the Same Location NPPES

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

NORTH SHORE REGIONAL MRI PC
Clinic/Center (Urgent Care)
2780 MIDDLE COUNTRY ROAD, SUITE 305
LAKE GROVE, NY 11755
Suffolk County (631) 689-5252

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 Medical Imaging, PC's NPI number?

The NPI number for Suffolk Medical Imaging, PC is 1760615793. It was assigned to this organization in the NPPES registry on August 25, 2009.

Where is Suffolk Medical Imaging, PC located?

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

What is Suffolk Medical Imaging, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Suffolk Medical Imaging, PC was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.