PJS MEDICAL DIAGNOSTIC PLLC NPI 1609110295

NPI Information

  • NPI: 1609110295
  • Provider Name: PJS MEDICAL DIAGNOSTIC PLLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 650 HALLOCK AVENUE
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 446-4700

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NPI Details

PJS MEDICAL DIAGNOSTIC PLLC is a diagnostic radiology radiology in Port Jefferson Station, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PJS MEDICAL DIAGNOSTIC PLLC NPI is 1609110295. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 HALLOCK AVENUE
PORT JEFFERSON STATION, NY
ZIP 11776-256
Phone: (631) 446-4700
Fax: (888) 972-3585

The provider's authorized official is Mark J Lodespoto .
The authorized official title is Owner and has the following contact phone number (631) 446-4700.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 12/20/2013.

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
1207R00000XInternal MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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