ALAN BERLLY MDPC NPI 1760469811

NPI Information

  • NPI: 1760469811
  • Provider Name: ALAN BERLLY, MDPC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: MEADOW DIAGNOSTIC IMAGING
  • Address: 1854 FRONT ST
    EAST MEADOW, NY
    ZIP 11554
  • Phone: (516) 228-0110

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NPI Details

ALAN BERLLY, MDPC is a radiology clinic center in East Meadow, NY. ALAN BERLLY, MDPC NPI is 1760469811. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadow Diagnostic Imaging.

The provider's business location address is:

1854 FRONT ST
EAST MEADOW, NY
ZIP 11554-444
Phone: (516) 228-0110
Fax: (516) 228-0111

The provider's authorized official is Alan Berlly .
The authorized official title is Senior Partner and has the following contact phone number (631) 517-8006.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 9/14/2007.

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
1261QR0200XClinic/CenterRadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WTE601MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
200730814MEDICAIDNEW YORK

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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