DR. JONATHAN J KHODADADIAN MD NPI 1275814618

NPI Information

  • NPI: 1275814618
  • Provider Name: DR. JONATHAN J KHODADADIAN, MD
  • Classification: Nuclear Medicine - 207UN0902X
  • Specialization: Nuclear Imaging & Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 E SUNRISE HWY
    208
    LINDENHURST, NY
    ZIP 11757
  • Phone: (631) 225-7200

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NPI Details

DR. Jonathan J Khodadadian, MD is a nuclear imaging and therapy nuclear medicine in Lindenhurst, NY. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. DR. Jonathan J Khodadadian, MD NPI is 1275814618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 E SUNRISE HWY
208
LINDENHURST, NY
ZIP 11757-539
Phone: (631) 225-7200
Fax: (631) 930-9451

The NPI 1275814618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries (HCPCS:A9503)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study of stomach to assess emptying (HCPCS:78264)
  • Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries (HCPCS:A9541)

The enumeration date for this NPI number is 8/30/2011 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207UN0902XNuclear MedicineNuclear Imaging & Therapy265565NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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